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Mandibular coronoid fractures, how rare?
Tejraj P Kale1, Vipin Aggarwal2, S M Kotrashetti2
1Professor, Department of Oral and Maxillofacial Surgery, VK Institute of Dental Sciences, KLE University, Belgaum, Karnataka, India, Phone: +919448472891,
The Journal of Contemporary Dental Practice
|June 10, 2015
Summary
Mandibular coronoid process fractures are rare, occurring in 3.58% of cases. Conservative treatment is effective for minimally displaced fractures, while ORIF is recommended for significant displacement or associated injuries.
Area of Science:
- Oral and Maxillofacial Surgery
- Trauma Surgery
- Orthognathic Surgery
Background:
- Mandibular coronoid process fractures are uncommon injuries.
- Understanding their rarity and optimal management is crucial for patient outcomes.
Purpose of the Study:
- To investigate the incidence of mandibular coronoid process fractures.
- To evaluate treatment strategies based on fracture displacement.
Main Methods:
- Retrospective analysis of 11 coronoid process fractures among 307 mandibular fractures (2008-2013).
- Comparison of conservative management versus open reduction internal fixation (ORIF).
- Statistical analysis of subjective and objective patient evaluations.
Main Results:
- Coronoid process fractures accounted for 3.58% of all mandibular fractures.
- No significant difference in outcomes between conservative and surgical treatment.
- Significant differences observed in postoperative maximum interincisal opening (MIO) and pain levels.
Conclusions:
- Conservative treatment is suitable for linear coronoid fractures with minimal displacement.
- ORIF is recommended for significantly displaced fractures, limited mouth opening, or associated facial fractures.
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