Cause Analysis of Treatment Failure of Mandibular Condylar Fractures and Amending Procedures
WANG Zhao-ling
LIU Ying
YANG Lu
HUANG Di-yan
ZHU Guo-xiong
Abstract：Objective To analyze the causes of treatment failure of mandibular condylar fractures and to suggest the preventive measures. Methods A total of 17 adult cases failed treatment of mandibular condylar fractures before being admit-ted to our hospital and received secondary treatment with good results. All data were retrospectively studied. The causes of treatment failure were analyzed. Results Of these patients, the hospitalization times were 1 month to 2 years after first treat-ment in other hospitals. 9 of them received non-surgical treatment while the other 8 underwent surgery. Of these cases, 10 were due to improper treatment selection including 9 with non-surgery and 1 with surgery, and the other 7 were due to improper surgical methods including 2 with improper management of combined mandibular fractures. During the second treatment, disc-condyle operation was performed again in 9 cases with obvious displacement of fractured fragments after primary non-surgery;debridement and reconstruction of temporomandibular joints were performed in 6 cases undergoing condylar replantation;Reop-eration for reduction of combined mandibular fractures was performed in 2 cases and anthroplasty was conducted in 2 case with ankylosis. All the cases were followed up for 6 months and all achieved satisfactory outcomes with good oral function and oc-clusion. Conclusion Lack of full understanding of mandibular condylar fracture and improper selection of therapeutic method are main causes of treatment failure. Standard treatment of condylar fractures may reduce the failure rate.
Keywords：MandibleCondylar fractureTreatment failure
Publication Date：2015-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：3( 39-41 )