Nonsurgical management of condylar fractures in children: A 15-year clinical retrospective study

Publication date: Available online 1 December 2015
Source:Journal of Cranio-Maxillofacial Surgery
Author(s): Nadia Theologie-Lygidakis, Konstantina Chatzidimitriou, Fotios Tzerbos, Aikaterini Gouzioti, Ioannis Iatrou
PurposeTo present the 15 years of experience after closed treatment of condylar fractures in children, by evaluating the short- and long-term results and propose treatment modalities.Material and MethodsData were retrieved for all young patients with condylar fractures who were treated from 2000 to 2014. Gender, age of patient, date of injury, type of fracture, treatment provided, and follow-up were registered.ResultsA total of 84 patients (mean age: 8.9 years) with 106 condylar fracture sites were included in the study. In 80 cases (95.2%), treatment was nonsurgical, with or without intermaxillary fixation, followed by kinesiotherapy. An intraocclusal block was additionally placed in 19 cases. Open reduction was selected in 4 cases. All condylar fractures healed without functional or esthetic complications, with the exception of 2 patients (2/80, 2.5%). Therefore, in late follow-up, no subjective symptoms were recorded, and a functional well-contoured condylar process was observed in all x-rays. Slight asymptomatic mandibular deviation was recorded in wide mouth opening in 29.1% of the patients.ConclusionsConservative treatment of condylar fractures is the treatment of choice in children. However, the child's age, tadequacy of function of the mandible, degree of displacement or dislocation of the condylar fragment, and need for active kinesiotherapy should be considered in all cases.



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