Tuyển tập các báo cáo nghiên cứu khoa học ngành y học tạp chí Medical Sciences dành cho các bạn sinh viên ngành y tham khảo đề tài: The treatment of condylar fractures: to open or not to open? A critical review of this controversy. | Int. J. Med. Sci. 2008 5 313 International Journal of Medical Sciences ISSN 1449-1907 2008 5 6 313-318 Ivyspring International Publisher. All rights reserved Review The treatment of condylar fractures to open or not to open A critical review of this controversy Renato VALIATI1 Danilo IBRAHIM1 Marcelo Emir Requia ABREU1 Claiton HEITZ2 Rogério Belle de OLIVEIRA2 Rogério Miranda PAGNONCELLI2 Daniela Nascimento SILVA2 H 1. School of Dentistry Pontificia Universidade Católica do Rio Grande do Sul PUCRS Porto Alegre Brazil. 2. Post-Graduation in Dentistry - Department of Surgery Head Prof. Dr. José Antônio Poli Figueiredo - Pontificia Universidade Católica do Rio Grande do Sul PUCRS Porto Alegre RS Brazil. These authors contributed equally. H Correspondence to Daniela Nascimento Silva MSc PhD School of Dentistry - PUCRS - Av. Ipiranga 6681 Prédio 6 Sala 209 CEP 90619-900 - Porto Alegre RS - Brazil. danitxf@ Telephone Fax 55 51 3320-3538. Received Accepted Published The treatment of condylar process fractures has generated a great deal of discussion and controversy in oral and maxillofacial trauma and there are many different methods to treat this injury. For each type of condylar fracture the techniques must be chosen taking into consideration the presence of teeth fracture height patient s adaptation patient s masticatory system disturbance of occlusal function deviation of the mandible internal derangements of the temporomandibular Joint TMJ and ankylosis of the joint with resultant inability to move the jaw all of which are sequelae of this injury. Many surgeons seem to favor closed treatment with maxillomandibular fixation MMF but in recent years open treatment of condylar fractures with rigid internal fixation RIF has become more common. The objective of this review was to evaluate the main variables that determine the choice of method for treatment of condylar fractures open or closed pointing out their .
