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Surgical Complications of Mandibular Condylar Fractures

Lima, Sergio Monteiro Júnior DDS, PhD; Asprino, Luciana DDS, PhD; Moreira, Roger Willian Fernandes DDS, PhD; de Moraes, Márcio DDS, PhD

Journal of Craniofacial Surgery: July 2011 - Volume 22 - Issue 4 - p 1512-1515
doi: 10.1097/SCS.0b013e31821d4c6f
Brief Clinical Studies

The purpose of this study was to retrospectively evaluate the complications of 58 patients who underwent surgery for mandibular condylar process fractures. Data were collected from patients during a 10-year period (1999-2009). The data recorded included demographic data, etiology, diagnosis, type of condylar fracture, surgical approaches, and postoperative complications. A total of 58 underwent surgery for reduction of the condylar fractures. There were 22 patients with bilateral condyle fractures and 36 patients with unilateral condyle fractures, accounting for 65 surgeries. In 8 fractures, a preauricular approach was performed to access the fractures condyle, whereas the retromandibular approach was performed in 57 fractures. There were 2 temporary facial palsies, 1 permanent facial palsy, and 1 sialocele. There were no cases of hypertrophic scar, Frey syndrome, or salivary fistula. In conclusion, permanent deformities after surgical complications were unusual, and the results are acceptably safe.

From the Oral and Maxillofacial Surgery Division, Department of Oral Diagnosis, Piracicaba Dental School, State University of Campinas-UNICAMP, Piracicaba, São Paulo, Brazil.

Received August 22, 2010.

Accepted for publication September 24, 2010.

Address correspondence and reprint requests to Márcio de Moraes, DDS, MS, PhD, Faculdade de Odontologia de Piracicaba, Universidade Estadual de Campinas, Área de Cirurgia Bucomaxilofacial, Avenida Limeira 901, CP 52, bairro vila areão. Piracicaba, São Paulo, Brasil; E-mail:

The authors report no conflicts of interest.

© 2011 Mutaz B. Habal, MD