Year : 2018

Volume : Volume 9

Issue : Issue 1

Address for correspondence :
Dr. Harsh Kumar.
HarshKumar@gmail.com

Abstract

Background:  The prevalence of  maxillofacial injuries is elevated due to high incidence of road traffic accidents. Amongst the maxillofacial injuries, the mandibular fracture is the most commonest type. However, there are definite signals for the management of condylar or subcondylar fracture by open reduction of  condylar fracture. The present study was conducted with the aim to compare the radiological and clinical outcome of open reduction and closed reduction for the management of condylar fractures. Materials and methods: The present retrospective study was conducted in our hospital for a period of 3 years.  All the subjects with minimum 3 months of follow up were included in the study. All the subjects were made to visit the hospital for follow up readings. The occlusion, maximal mouth opening, deviation on opening, and nerve injury were recorded.  All the data was arranged in tabulated form and expressed as mean+/- standard deviation. Mann-Whitney test was used for statistical analysis. Probability value of less than 0.05 was regarded as significant. Results: The present study analyzed 42 cases of condylar fractures. Out of which, 20 were managed by closed reduction and 22 were managed by open reduction and internal fixation The postoperative ramal height amongst subjects undergoing closed reduction and ORIF was 1.98±0.97 and 1.98±0.97 respectively. There was no significant difference between the two.  There were 4 cases of deviation in mouth opening in closed reduction subjects and 5 cases in ORIF subjects. Conclusion: In our study, there was no significant difference in the results obtained by closed reduction and open reduction.

Keywords: deviation, retrospective, subcondylar.