Classication and Management of Mandibular Condyle Fractures in a Tertiary Health Center.docVIP

Surgical Science, 2013, 4, 339-344 /10.4236/ss.2013.48067 Published Online August 2013 (/journal/ss) Classification and Management of Mandibular Condyle Fractures in a Tertiary Health Center Babatunde O. Akinbami , Oladimeji A. Akadiri * Department of Oral and Maxillofacial Surgery, Dental Center, University of Port Harcourt Teaching Hospital, Port Harcourt, Nigeria Email: akinbamzy3@ * Received May 16, 2013; revised June 18, 2013; accepted June 26, 2013 Copyright ? 2013 Babatunde O. Akinbami, Oladimeji A. Akadiri. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. ABSTRACT Background: Condyle fractures are not common but could lead to detrimental effects of growth disturbance of the mandible, ankylosis of temporomandibular joint and facial asymmetry especially in children, if not promptly and ade- quately managed, the aim of this study was to document our experience in the management of mandibular condyle fractures. Method: The fractures were classified based on the age of the patient, unilateral/bilateral, location on the condyle, presence of displacement and dislocation, for those displaced, whether there was medial or lateral overlap, and features presented. Treatment done for each patient was documented. Both clinical and radiological assessments were done to ascertain the outcome of treatment. Result: 11 patients presented with 14 condyle fractures, 3 patients with bi- lateral and 8 with unilateral condyle fractures out of which 5 cases were on the right side. Age range of patients was between 13 and 44 years with a mean (SD) of 25.3 (10.7) years. Nine (81.8%) of the patients were males and 2 (18.2%) were females. Eight (72.7%) of the patients with condyle fracture had associated fractures affecting other sites of the mandible