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Current Frequency of Mandibular Condylar Process Fractures.

Marcin Kozakiewicz1, Agata Walczyk1

  • 1Department of Maxillofacial Surgery, Medical University of Lodz, 90-549 Lodz, Poland.

Journal of Clinical Medicine
|February 25, 2023
PubMed
Summary

Mandibular head fractures are more common than previously believed, occurring twice as often in children than adults. This study clarifies the incidence of various mandibular process fractures, highlighting head fractures.

Keywords:
ORIFclassificationcondylar headcondyleepidemiologyfracturehumanmandiblemandible headsurgical treatment

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Area of Science:

  • Oral and Maxillofacial Surgery
  • Traumatology
  • Anatomy

Background:

  • Discrepancies exist in reported prevalence of condylar process fractures (16.5-56%) within mandibular fractures.
  • The true incidence of difficult-to-treat mandibular head fractures remains unclear.

Purpose of the Study:

  • To determine the current incidence of mandibular process fractures.
  • To specifically focus on the prevalence and characteristics of mandibular head fractures.

Main Methods:

  • Retrospective review of medical records for 386 patients with mandibular fractures.
  • Categorization of fractures by type and location within the mandible.

Main Results:

  • Condylar process fractures accounted for 45% of all mandibular fractures.
  • Mandibular head fractures represented 34% of condylar process fractures, with Type C being most prevalent (73%).
  • Head fractures were twice as common in pediatric patients compared to adults.

Conclusions:

  • Mandibular head fractures are more frequent than previously assumed.
  • Findings suggest a strong association between mandibular fractures and mandibular head fractures.
  • This data can inform future diagnostic approaches for mandibular fractures.