Subcondylar Fractures - 19/08/12

Doi : 10.1016/j.fsc.2012.05.002

Edward Ellis, DDS, MS ^a,^⁎ , Robert M. Kellman, MD ^c,^⁎ , Emre Vural, MD ^b,^⁎
^a Department of Oral and Maxillofacial Surgery, The University of Texas Health Science Center at San Antonio, San Antonio, TX, USA
^b Department of Otolaryngology-Head and Neck Surgery, University of Arkansas for Medical Sciences, 4301 West Markham, Slot 543, Little Rock, AR 72205, USA
^c Department of Otolaryngology and Communication Sciences, State University of New York – Upstate Medical University, 750 East Adams Street, Syracuse, NY 13210, USA

Corresponding authors.

Résumé

•	Edward Ellis, Robert Kellman, and Emre Vural address questions for discussion and debate:
1.	Are there specific indications for open versus closed treatment of subcondylar fractures? Are there any contraindications to open treatment, and do they supercede the indications for open treatment?
2.	Does the presence of other fractures (mandible and/or midface) affect your choice of open versus closed treatment? (Is the selection of closed vs open treatment the same for unilateral vs bilateral fractures?)
3.	If one chooses to perform closed treatment, how long a period of MMF is required?
4.	What are the most important factors for success when closed treatment is used?
5.	What is the best surgical approach to ORIF of subcondylar fractures?
6.	Analysis: Over the past 5 years, how has your technique or approach evolved or what is the most important thing you have learned/observed in working with subcondylar fractures?

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Keywords : Subcondylar fracture, Mandible fracture, Facial fracture, Surgical techniques, Open surgical technique, Closed surgical technique, Mandible maxilla