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Diacapitular fracture of the mandibular condyle: the current thinking

Authors

  • S.E. Udeabor,

    Corresponding author
    1. Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, College of Health Sciences, University of Port Harcourt, Port Harcourt, Nigeria
    • Correspondence to:

      Dr SE Udeabor

      Department of Oral and Maxillofacial Surgery

      Faculty of Dentistry

      College of Health Sciences

      University of Port Harcourt

      East-West Road

      Choba

      Port Harcourt 500272

      Nigeria

      Tel.: +234 706 386 0419

      email: samudeabor@yahoo.com

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  • B.O. Braimoh,

    1. Department of Preventive Dentistry, Faculty of Dentistry, College of Health Sciences, University of Port Harcourt, Port Harcourt, Nigeria
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  • A.E. Obiechina

    1. Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, College of Health Sciences, University of Port Harcourt, Port Harcourt, Nigeria
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Abstract

Diacapitular fracture of the mandibular condyle occurs quite commonly following trauma to the jaws. However, many surgeons shy away from its surgical treatment because of the technical difficulties involved and would rather manage it conservatively. The difficulties range from surgical access and proper repositioning of the fractured segments to the application of mini- or micro-plates. Inadequate treatment can result in limitations in mouth opening, among other complications. Over the years, no clear-cut guidelines and common ground have been agreed upon across the surgical world with regard to the treatment of this very challenging fracture. Different surgeons at different times have put forward their experiences in the management of diacapitular fractures, and the controversy seems to linger despite advances in surgical techniques and armamentarium. This review article, therefore, is an overview of current thought on the management of diacapitular fractures of the mandibular condyle that is intended to harmonise some of the views in the literature.

Ancillary