Related Experiment Video
Updated: Aug 1, 2025
04:13
Less-Invasive Technique for Non-stabilized Mandibular Fracture in Mouse Models
Published on: September 27, 2024
398
Interventions for the Management of Mandibular Coronoid Process Fractures: A Systematic Review
Radhika Pathak1, Tejraj P Kale1, S M Kotrashetti1
1Department of Oral and Maxillofacial Surgery, KLE V K Institute of Dental Sciences, Nehru Nagar, Belagavi, Karnataka 590010 India.
Journal of Maxillofacial and Oral Surgery
|May 1, 2023
Summary
Coronoid process fractures of the mandible are rare. Conservative management is preferred for minimally displaced fractures, while surgical intervention is recommended for displaced fractures impacting mandibular function.
Area of Science:
- Oral and Maxillofacial Surgery
- Traumatology
Background:
- Fractures of the coronoid process of the mandible are exceptionally rare.
- Limited literature exists, yet complications can be severe, necessitating effective management.
- Treatment remains controversial due to the lack of standardized protocols.
Purpose of the Study:
- To systematically review and compare the outcomes of various treatment modalities for coronoid process fractures.
- To synthesize current evidence on managing this rare mandibular fracture.
Main Methods:
- A systematic literature search was performed across major databases (PubMed, Google Scholar, Pro Quest, Wiley Online) up to January 2021.
- Included studies involved participants over 14 years old; case reports and series without treatment plans were excluded.
- Risk of bias was assessed using MINORS and JBI checklists.
Main Results:
- Five studies were included: four retrospective and one retrospective case-controlled.
- Treatment modalities included conservative management, open reduction and internal fixation (ORIF), and coronoidectomy.
- Conservative management was favored for asymptomatic cases, while surgical options were preferred for symptomatic presentations.
Conclusions:
- No randomized controlled trials were identified; most studies were case reports.
- Minimally displaced coronoid process fractures are typically managed conservatively.
- Displaced fractures causing mandibular function impediment warrant surgical management.
