Management of Mandibular Condyle Fractures in Pediatric Patients: A Multicentric Retrospective Study with 180 Children and Adolescents

<b>Background</b>: Mandibular condyle fractures in pediatric patients can lead to crippling sequelae such as ankylosis, pain and facial deformity if not managed properly. However, there is no consensus on the best approach for treating these fractures in children. <b>Objective</b>: This study aimed to describe the management of mandibular condyle fractures in growing patients across 14 maxillofacial departments worldwide. <b>Methods</b>: A retrospective multicenter study was conducted on children and adolescents aged 0 to 16 who had at least one mandibular condyle fracture. This study included patients who underwent expectant, closed, or open management and were treated over an 11-year period. <b>Results</b>: 180 patients had at least one mandibular condyle fracture, and 37 had a second condylar fracture. One hundred sixteen patients (65%) were males, and 64 (35%) were females (ratio 1.8:1). An expectant strategy was chosen in 51 (28%) patients, a closed treatment-stand-alone maxillomandibular fixation (MMF)-in 47 (26%), and open reduction and internal fixation (ORIF) was performed in 82 (46%) patients. The management varied significantly between the different departments (<i>p</i> < 0.0001). Significant differences were also identified between the fracture type (non-displaced, displaced or comminuted) and the management of the 180 patients with a single condylar fracture. Out of 50 non-displaced fractures, only 3 (6%) had ORIF, 25 (50%) had expectant management, and 22 (44%) had MMF. Out of 129 displaced fractures, 79 (62%) had ORIF, 25 (19%) had a soft diet, and 25 (19%) had MMF. <b>Conclusions</b>: Expectative management, MMF, and ORIF were all effective in treating pediatric mandibular condyle fractures, with a low incidence of complications and asymmetry.

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Publication Details

Journal
Journal of Clinical Medicine
Published
2024-09-14
DOI
https://doi.org/10.3390/jcm13185455
Citations
10
Primary Topic
Facial Trauma and Fracture Management
Type
article
Field-Weighted Citation Impact
5.73
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article

Management of Mandibular Condyle Fractures in Pediatric Patients: A Multicentric Retrospective Study with 180 Children and Adolescents

Wolfgang Hitzl, Sahand Samieirad, Tabishur Rahman, Constantinus Politis et al.
10 citations
Journal of Clinical Medicine
Facial Trauma and Fracture Management
5.73
article

Management of Mandibular Condyle Fractures in Pediatric Patients: A Multicentric Retrospective Study with 180 Children and Adolescents

Wolfgang Hitzl, Sahand Samieirad, Tabishur Rahman, Constantinus Politis, Fabio Roccia, Valfrido Antônio Pereira-Filho, Boris Kos, Timothy Aladelusi, Vitomir S. Konstantinović, Sean Laverick, Luis Fernando de Oliveira Gorla, Euan Rae, Maria Beatrice Rossi, Anamaria Sivrić, Petia Pechalova, Federica Sobrero, Aleš Vesnaver, Karpal Singh Sohal, Mario Kordić, Sajjad Abdur Rahman, Emil Dediol, Kathia Dubron, Anže Birk, Angel Sapundzhiev, Marko Lazić, Maximilian Götzinger, Gian Battista Bottini
article en
10 citations

Abstract

<b>Background</b>: Mandibular condyle fractures in pediatric patients can lead to crippling sequelae such as ankylosis, pain and facial deformity if not managed properly. However, there is no consensus on the best approach for treating these fractures in children. <b>Objective</b>: This study aimed to describe the management of mandibular condyle fractures in growing patients across 14 maxillofacial departments worldwide. <b>Methods</b>: A retrospective multicenter study was conducted on children and adolescents aged 0 to 16 who had at least one mandibular condyle fracture. This study included patients who underwent expectant, closed, or open management and were treated over an 11-year period. <b>Results</b>: 180 patients had at least one mandibular condyle fracture, and 37 had a second condylar fracture. One hundred sixteen patients (65%) were males, and 64 (35%) were females (ratio 1.8:1). An expectant strategy was chosen in 51 (28%) patients, a closed treatment-stand-alone maxillomandibular fixation (MMF)-in 47 (26%), and open reduction and internal fixation (ORIF) was performed in 82 (46%) patients. The management varied significantly between the different departments (<i>p</i> < 0.0001). Significant differences were also identified between the fracture type (non-displaced, displaced or comminuted) and the management of the 180 patients with a single condylar fracture. Out of 50 non-displaced fractures, only 3 (6%) had ORIF, 25 (50%) had expectant management, and 22 (44%) had MMF. Out of 129 displaced fractures, 79 (62%) had ORIF, 25 (19%) had a soft diet, and 25 (19%) had MMF. <b>Conclusions</b>: Expectative management, MMF, and ORIF were all effective in treating pediatric mandibular condyle fractures, with a low incidence of complications and asymmetry.

Journal of Clinical MedicineVol. 13(18)
Muhimbili University of Health and Allied Sciences (TZ), Mashhad University of Medical Sciences (IR), Aligarh Muslim University (IN), University of Dundee (GB), University of Ibadan (NG), Paracelsus Medical University (AT), University Clinical Hospital Mostar (BA), University Hospital Dubrava (HR), Medical University Plovdiv (BG), Ljubljana University Medical Centre (SI), University of Belgrade (RS), University of Turin (IT), Universidade Estadual Paulista (Unesp) (BR), KU Leuven (BE)
Good health and well-being
Openalex Percentile: Top 3%
Facial Trauma and Fracture Management
5.73
DOIOpen Access PDFOpenAlex
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