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Fractures of the mandibular coronoid process: a two centres study
Paolo Boffano1, Sofie C Kommers1, Fabio Roccia2
1Department of Oral and Maxillofacial Surgery/Pathology (Head: Professor Tymour Forouzanfar), VU University Medical Center and Academic Centre for Dentistry Amsterdam (ACTA), P.O. Box 7057, 1007 MB Amsterdam, The Netherlands.
Summary
This study analyzed coronoid fractures in European centers, finding motor vehicle accidents as the primary cause. Early physiotherapy is crucial to prevent ankylosis after treatment.
Area of Science:
- Oral and Maxillofacial Surgery
- Traumatology
Background:
- Coronoid process fractures are a subset of mandibular fractures.
- Understanding their characteristics and treatment outcomes is essential for effective management.
Purpose of the Study:
- To assess the characteristics of patients with coronoid fractures treated over a decade in two European centers.
- To review the existing literature on coronoid fracture management.
Main Methods:
- Retrospective analysis of 21 coronoid fractures from two European centers (2001-2010).
- Inclusion of data on patient demographics, fracture etiology, and associated injuries.
- Literature review of coronoid fracture treatment and outcomes.
Main Results:
- A total of 21 coronoid fractures were identified in 21 patients (mean age 42.1 years).
- Motor vehicle accidents were the most common cause, followed by assaults and falls.
- Zygomatic fractures were the most frequent associated maxillofacial injury.
Conclusions:
- Mandibular coronoid fractures are typically managed unless severe dislocation or functional impairment occurs.
- Conservative treatment or surgical intervention for associated fractures may be employed.
- Preventing ankylosis through early postoperative physiotherapy is critical for restoring mandibular function.
