Management of Mandibular Condyle Fractures in Pediatric Patients: A Multicentric Retrospective Study with 180 Children and Adolescents

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Autor(es): dc.contributorUniversity Hospital of the Private Medical University Paracelsus-
Autor(es): dc.contributorParacelsus Medical University-
Autor(es): dc.contributorUniversity Hospitals Leuven-
Autor(es): dc.contributorUniversity Clinical Hospital-
Autor(es): dc.contributorMedical University of Plovdiv-
Autor(es): dc.contributorUniversidade Estadual Paulista (UNESP)-
Autor(es): dc.contributorUniversity Hospital Dubrava-
Autor(es): dc.contributorAligarh Muslim University-
Autor(es): dc.contributorMashhad University of Medical Sciences-
Autor(es): dc.contributorUniversity of Ibadan-
Autor(es): dc.contributorUniversity of Belgrade-
Autor(es): dc.contributorUniversity Medical Centre-
Autor(es): dc.contributorMuhimbili University of Health and Allied Sciences-
Autor(es): dc.contributorUniversity of Dundee-
Autor(es): dc.contributorUniversity of Turin-
Autor(es): dc.creatorBottini, Gian Battista-
Autor(es): dc.creatorHitzl, Wolfgang-
Autor(es): dc.creatorGötzinger, Maximilian-
Autor(es): dc.creatorPolitis, Constantinus-
Autor(es): dc.creatorDubron, Kathia-
Autor(es): dc.creatorKordić, Mario-
Autor(es): dc.creatorSivrić, Anamaria-
Autor(es): dc.creatorPechalova, Petia-
Autor(es): dc.creatorSapundzhiev, Angel-
Autor(es): dc.creatorPereira-Filho, Valfrido Antonio-
Autor(es): dc.creatorde Oliveira Gorla, Luis Fernando-
Autor(es): dc.creatorDediol, Emil-
Autor(es): dc.creatorKos, Boris-
Autor(es): dc.creatorRahman, Tabishur-
Autor(es): dc.creatorRahman, Sajjad Abdur-
Autor(es): dc.creatorSamieirad, Sahand-
Autor(es): dc.creatorAladelusi, Timothy-
Autor(es): dc.creatorKonstantinovic, Vitomir S.-
Autor(es): dc.creatorLazić, Marko-
Autor(es): dc.creatorVesnaver, Aleš-
Autor(es): dc.creatorBirk, Anže-
Autor(es): dc.creatorSohal, Karpal Singh-
Autor(es): dc.creatorLaverick, Sean-
Autor(es): dc.creatorRae, Euan-
Autor(es): dc.creatorRossi, Maria Beatrice-
Autor(es): dc.creatorRoccia, Fabio-
Autor(es): dc.creatorSobrero, Federica-
Data de aceite: dc.date.accessioned2025-08-21T15:55:18Z-
Data de disponibilização: dc.date.available2025-08-21T15:55:18Z-
Data de envio: dc.date.issued2025-04-29-
Data de envio: dc.date.issued2024-09-01-
Fonte completa do material: dc.identifierhttp://dx.doi.org/10.3390/jcm13185455-
Fonte completa do material: dc.identifierhttps://hdl.handle.net/11449/309813-
Fonte: dc.identifier.urihttp://educapes.capes.gov.br/handle/11449/309813-
Descrição: dc.descriptionBackground: Mandibular condyle fractures in pediatric patients can lead to crippling sequelae such as ankylosis, pain and facial deformity if not managed properly. However, there is no consensus on the best approach for treating these fractures in children. Objective: This study aimed to describe the management of mandibular condyle fractures in growing patients across 14 maxillofacial departments worldwide. Methods: A retrospective multicenter study was conducted on children and adolescents aged 0 to 16 who had at least one mandibular condyle fracture. This study included patients who underwent expectant, closed, or open management and were treated over an 11-year period. Results: 180 patients had at least one mandibular condyle fracture, and 37 had a second condylar fracture. One hundred sixteen patients (65%) were males, and 64 (35%) were females (ratio 1.8:1). An expectant strategy was chosen in 51 (28%) patients, a closed treatment—stand-alone maxillomandibular fixation (MMF)—in 47 (26%), and open reduction and internal fixation (ORIF) was performed in 82 (46%) patients. The management varied significantly between the different departments (p < 0.0001). Significant differences were also identified between the fracture type (non-displaced, displaced or comminuted) and the management of the 180 patients with a single condylar fracture. Out of 50 non-displaced fractures, only 3 (6%) had ORIF, 25 (50%) had expectant management, and 22 (44%) had MMF. Out of 129 displaced fractures, 79 (62%) had ORIF, 25 (19%) had a soft diet, and 25 (19%) had MMF. Conclusions: Expectative management, MMF, and ORIF were all effective in treating pediatric mandibular condyle fractures, with a low incidence of complications and asymmetry.-
Descrição: dc.descriptionDepartment of Oral and Maxillofacial Surgery and Center for Reconstructive Surgery University Hospital of the Private Medical University Paracelsus-
Descrição: dc.descriptionResearch and Innovation Management Biostatistics Department of Ophthalmology and Optometry Research Program Experimental Ophthalmology and Glaucoma Research Paracelsus Medical University-
Descrição: dc.descriptionDepartment of Oral and Maxillofacial Surgery University Hospitals Leuven, Kapucijnenvoer 7-
Descrição: dc.descriptionClinic for ENT and OMS University Clinical Hospital-
Descrição: dc.descriptionDepartment of Oral Surgery Faculty of Dental medicine Medical University of Plovdiv-
Descrição: dc.descriptionDepartment of Diagnosis and Surgery Division of Oral and Maxillofacial Surgery São Paulo State University UNESP, SP-
Descrição: dc.descriptionDepartment of Maxillofacial Surgery University Hospital Dubrava-
Descrição: dc.descriptionDepartment of Oral and Maxillofacial Surgery Aligarh Muslim University-
Descrição: dc.descriptionOral & Maxillofacial Surgery Department Mashhad Dental School Mashhad University of Medical Sciences-
Descrição: dc.descriptionDepartment of Oral and Maxillofacial Surgery College of Medicine University of Ibadan-
Descrição: dc.descriptionClinic of Maxillofacial Surgery School of Dentistry University of Belgrade-
Descrição: dc.descriptionDepartment of Maxillofacial and Oral Surgery University Medical Centre-
Descrição: dc.descriptionDepartment of Oral and Maxillofacial Surgery Muhimbili University of Health and Allied Sciences, Dar es Salaam-
Descrição: dc.descriptionDepartment of Oral and Maxillofacial Surgery University of Dundee-
Descrição: dc.descriptionDivision of Maxillofacial Surgery Città della Salute e della Scienza Hospital University of Turin-
Descrição: dc.descriptionDepartment of Diagnosis and Surgery Division of Oral and Maxillofacial Surgery São Paulo State University UNESP, SP-
Idioma: dc.languageen-
Relação: dc.relationJournal of Clinical Medicine-
???dc.source???: dc.sourceScopus-
Palavras-chave: dc.subjectexpectant management-
Palavras-chave: dc.subjectmandibular condyle fractures-
Palavras-chave: dc.subjectmaxillomandibular fixation-
Palavras-chave: dc.subjectopen reduction and internal fixation-
Palavras-chave: dc.subjectpediatric mandibular condyle fractures-
Palavras-chave: dc.subjectpediatric maxillofacial trauma-
Título: dc.titleManagement of Mandibular Condyle Fractures in Pediatric Patients: A Multicentric Retrospective Study with 180 Children and Adolescents-
Tipo de arquivo: dc.typelivro digital-
Aparece nas coleções:Repositório Institucional - Unesp

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