title: Surgical complications of mandibular condylar fractures.
abstract: The purpose of this study was to retrospectively evaluate the complications of 58 patients who underwent surgery for mandibular condylar process fractures. Data were collected from patients during a 10-year period (1999-2009). The data recorded included demographic data, etiology, diagnosis, type of condylar fracture, surgical approaches, and postoperative complications. A total of 58 underwent surgery for reduction of the condylar fractures. There were 22 patients with bilateral condyle fractures and 36 patients with unilateral condyle fractures, accounting for 65 surgeries. In 8 fractures, a preauricular approach was performed to access the fractures condyle, whereas the retromandibular approach was performed in 57 fractures. There were 2 temporary facial palsies, 1 permanent facial palsy, and 1 sialocele. There were no cases of hypertrophic scar, Frey syndrome, or salivary fistula. In conclusion, permanent deformities after surgical complications were unusual, and the results are acceptably safe.
authors.affiliation: Oral and Maxillofacial Surgery Division, Department of Oral Diagnosis, Piracicaba Dental School, State University of Campinas-UNICAMP, Piracicaba, São Paulo, Brazil.
authors.forename: Sergio Monteiro
authors.initials: SM
authors.lastname: Lima
authors.forename: Luciana
authors.initials: L
authors.lastname: Asprino
authors.forename: Roger Willian Fernandes
authors.initials: RW
authors.lastname: Moreira
authors.forename: Márcio
authors.initials: M
authors.lastname: de Moraes
mesh_terms: D000293:Adolescent; D000328:Adult; D016063:Blood Loss, Surgical; D001860:Bone Plates; D001863:Bone Screws; D002648:Child; D005158:Facial Paralysis / Q000209:etiology; D005260:Female; D005500:Follow-Up Studies; D005593:Fracture Fixation, Internal / Q000009:adverse effects / Q000295:instrumentation / Q000379:methods*; D018460:Fractures, Comminuted / Q000601:surgery; D006801:Humans; D008297:Male; D008334:Mandible / Q000601:surgery; D008335:Mandibular Condyle / Q000293:injuries* / Q000601:surgery; D008337:Mandibular Fractures / Q000145:classification / Q000601:surgery*; D008875:Middle Aged; D010305:Parotid Diseases / Q000209:etiology; D010306:Parotid Gland / Q000601:surgery; D011183:Postoperative Complications; D012189:Retrospective Studies; D013530:Surgical Wound Infection / Q000209:etiology; D013704:Temporomandibular Joint / Q000601:surgery; D055815:Young Adult