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Preauricular approach: our alternative for surgical treatment of condylar fractures
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21st ICOMS 2013—Abstracts: Oral Papers
fracture reduction, mobility of fragments, post operative infection and IMF required. No plate in group B was evident on palpation postoperatively,wheres 7 in group B were evident on palpation postoperatoively. Satistically a significant difference was seen in terms of this parameter. Conclusion: InterFlex plate is as effective as the miniplates for fixation of mandibular symphysis/body fractures and far superior in terms of less titanium used and postoperative patent satisfaction. Key words: mandibular fractures; interflex plates; mini plates http://dx.doi.org/10.1016/j.ijom.2013.07.224 T7.OR063 Development and management of complications condylar fractures C. Vidal Molina ∗ , R. Osben Moreno, O. Badillo Coloma, M. Arriola Silva, V. Duarte Meza Hospital Carlos Van Buren, Chile Introduction: The treatment of condylar fractures can be surgical or orthopedic. Although evidence tilts towards open treatment, there are technical complications, such as facial nerve damage and associated tissues. Moreover, the conservative treatment leads to malocclusions including asymmetries anatomical and joint ankylosis. Complications may observe short or long term, temporary or permanent. Objective: Show complications in 15 years of clinical experience in patients with condylar fractures regardless of treatment selected. Methods: We evaluated the medical records of patients from January 1999 to December 2012, admitted with diagnosis of condylar fractures. Database included sociodemographic characteristics, complications in both treatments and association with its development over time. We classified complications in short or long term, temporary or permanent. Results: A total of 123 patients with 161 condylar fractures. 25 patients had complications. From 48 surgical patients, facial nerve injury was the most frequent 26%, followed by hygromas and scars (13%). In orthopedic treatments the most frequent was impaired mandibular dynamics (22%), facial asymmetry (4%) and ankylosis (9%). Conclusions: The reported complications are related directly with the selected treatment. The most common is the alteration of facial nerve. Our results showed short-term complications in open treatment and long-term in the conservative treatment. Key words: condyle fractures; complications; neurological alterations; sequels http://dx.doi.org/10.1016/j.ijom.2013.07.225 T7.OR064 Preauricular approach: our alternative for surgical treatment of condylar fractures C. Vidal Molina ∗ , R. Osben Moreno, O. Badillo Coloma, V. Duarte Meza, M. Arriola Silva Hospital Carlos Van Buren, Chile Introduction: For surgical treatment for condylar fractures is required an extraoral approach that will depend on the type of fracture and knowing the risk involving the facial nerve. From
the different approaches, there is still no consensus on the most appropriate one and will depend also on the surgeon’s experience. Objectives: Evaluate the association between type of approach with condylar fracture pattern, their functional and esthetic results. Methodology: Clinical records of patients since January 1999 to December 2012 admitted with condylar fractures were review. We made a database with sociodemographic characteristics, type of approach and fracture pattern, clinical and imaging controls. Results: Of the 123 patients with condylar fractures, 48 were treated surgically 68% men. The most prevalent fracture pattern class IV Spiessl and Schroll. The preauricular approach (48%), was used despite of the type of fracture, followed by endaural (25%) and retromandibular approches. Temporal facial palsy was present in 5% of preauricular approaches. Conclusions: In our clinical experience, the versatility of the preauricular approach suites well to resolve most of the different types of condylar fractures with minimum complications. Key words: condyle fractures; surgical treatment; preauricular; endaural; approach http://dx.doi.org/10.1016/j.ijom.2013.07.226 T7.OR065 Management and outcome of pediatric orbital fractures: a retrospective analysis M.E.H. Wagner ∗ , A.M. Eckardt, V. Ehrenbrink, H. Essig, M. Rücker, N.C. Gellrich Medizinische Hochschule Hannover, Germany Background and objectives: In children, damage to the orbit is not as common as in the adult population. Although possible complications like trapdoor fractures or the white eye blowout fractures might be challenging and treatment with the lowest possible time delay and accurate strategy is mandatory. Therefore our intention was, to develop a workflow for pediatric orbital fractures, to detect the aforementioned complications. Methods: A retrospective analysis of a total number of 2802 trauma cases requiring treatment in our department between the years 2000–2010. Results: The study resulted in 930 patients with orbital fractures with 60 cases (6.5%) in patients 17 years or younger. 48 patients (80%) presented with orbital floor fractures, whereof 13 patients (22%) encountered a trapdoor-fracture with indication for immediate decompression. In 47 cases (78%) operative reconstruction was indicated. 17 children (28%) struggled with pre-operative diplopia, 9 (15%) with restricted eye movement, 23 (38%) with nerve irritation respectively. Post-operative complications were detected in 13 cases (27% of all operated children). Conclusions: Thorough investigation of each trauma to the midface in pediatric patients is required in our opinion, although the number of severe complications might not be as high as estimated in the literature. http://dx.doi.org/10.1016/j.ijom.2013.07.227
21st ICOMS 2013—Abstracts: Oral Papers
fracture reduction, mobility of fragments, post operative infection and IMF required. No plate in group B was evident on palpation postoperatively,wheres 7 in group B were evident on palpation postoperatoively. Satistically a significant difference was seen in terms of this parameter. Conclusion: InterFlex plate is as effective as the miniplates for fixation of mandibular symphysis/body fractures and far superior in terms of less titanium used and postoperative patent satisfaction. Key words: mandibular fractures; interflex plates; mini plates http://dx.doi.org/10.1016/j.ijom.2013.07.224 T7.OR063 Development and management of complications condylar fractures C. Vidal Molina ∗ , R. Osben Moreno, O. Badillo Coloma, M. Arriola Silva, V. Duarte Meza Hospital Carlos Van Buren, Chile Introduction: The treatment of condylar fractures can be surgical or orthopedic. Although evidence tilts towards open treatment, there are technical complications, such as facial nerve damage and associated tissues. Moreover, the conservative treatment leads to malocclusions including asymmetries anatomical and joint ankylosis. Complications may observe short or long term, temporary or permanent. Objective: Show complications in 15 years of clinical experience in patients with condylar fractures regardless of treatment selected. Methods: We evaluated the medical records of patients from January 1999 to December 2012, admitted with diagnosis of condylar fractures. Database included sociodemographic characteristics, complications in both treatments and association with its development over time. We classified complications in short or long term, temporary or permanent. Results: A total of 123 patients with 161 condylar fractures. 25 patients had complications. From 48 surgical patients, facial nerve injury was the most frequent 26%, followed by hygromas and scars (13%). In orthopedic treatments the most frequent was impaired mandibular dynamics (22%), facial asymmetry (4%) and ankylosis (9%). Conclusions: The reported complications are related directly with the selected treatment. The most common is the alteration of facial nerve. Our results showed short-term complications in open treatment and long-term in the conservative treatment. Key words: condyle fractures; complications; neurological alterations; sequels http://dx.doi.org/10.1016/j.ijom.2013.07.225 T7.OR064 Preauricular approach: our alternative for surgical treatment of condylar fractures C. Vidal Molina ∗ , R. Osben Moreno, O. Badillo Coloma, V. Duarte Meza, M. Arriola Silva Hospital Carlos Van Buren, Chile Introduction: For surgical treatment for condylar fractures is required an extraoral approach that will depend on the type of fracture and knowing the risk involving the facial nerve. From
the different approaches, there is still no consensus on the most appropriate one and will depend also on the surgeon’s experience. Objectives: Evaluate the association between type of approach with condylar fracture pattern, their functional and esthetic results. Methodology: Clinical records of patients since January 1999 to December 2012 admitted with condylar fractures were review. We made a database with sociodemographic characteristics, type of approach and fracture pattern, clinical and imaging controls. Results: Of the 123 patients with condylar fractures, 48 were treated surgically 68% men. The most prevalent fracture pattern class IV Spiessl and Schroll. The preauricular approach (48%), was used despite of the type of fracture, followed by endaural (25%) and retromandibular approches. Temporal facial palsy was present in 5% of preauricular approaches. Conclusions: In our clinical experience, the versatility of the preauricular approach suites well to resolve most of the different types of condylar fractures with minimum complications. Key words: condyle fractures; surgical treatment; preauricular; endaural; approach http://dx.doi.org/10.1016/j.ijom.2013.07.226 T7.OR065 Management and outcome of pediatric orbital fractures: a retrospective analysis M.E.H. Wagner ∗ , A.M. Eckardt, V. Ehrenbrink, H. Essig, M. Rücker, N.C. Gellrich Medizinische Hochschule Hannover, Germany Background and objectives: In children, damage to the orbit is not as common as in the adult population. Although possible complications like trapdoor fractures or the white eye blowout fractures might be challenging and treatment with the lowest possible time delay and accurate strategy is mandatory. Therefore our intention was, to develop a workflow for pediatric orbital fractures, to detect the aforementioned complications. Methods: A retrospective analysis of a total number of 2802 trauma cases requiring treatment in our department between the years 2000–2010. Results: The study resulted in 930 patients with orbital fractures with 60 cases (6.5%) in patients 17 years or younger. 48 patients (80%) presented with orbital floor fractures, whereof 13 patients (22%) encountered a trapdoor-fracture with indication for immediate decompression. In 47 cases (78%) operative reconstruction was indicated. 17 children (28%) struggled with pre-operative diplopia, 9 (15%) with restricted eye movement, 23 (38%) with nerve irritation respectively. Post-operative complications were detected in 13 cases (27% of all operated children). Conclusions: Thorough investigation of each trauma to the midface in pediatric patients is required in our opinion, although the number of severe complications might not be as high as estimated in the literature. http://dx.doi.org/10.1016/j.ijom.2013.07.227