( An ISO 9001:2015 Certified International Journal )

An International Peer Reviewed Journal for Pharmaceutical, Medical & Biological Sciences

An Official Publication of Society for Advance Healthcare Research (Reg. No. : 01/01/01/31674/16)

European Journal of Pharmaceutical and Medical Research (EJPMR) has indexed with various reputed international bodies like : Google Scholar , Indian Science Publications , InfoBase Index (In Process) , SOCOLAR, China , Research Bible, Fuchu, Tokyo. JAPAN , International Society for Research activity (ISRA) , Scientific Indexing Services (SIS) , Polish Scholarly Bibliography , Global Impact Factor (GIF) (Under Process) , Universal Impact Factor , International Scientific Indexing (ISI), UAE  , Index Copernicus , CAS (A Division of American Chemical Society) USA (Under Process) , Directory of Open Access Journal (DOAJ, Sweden, in process) , UDLedge Science Citation Index , CiteFactor , Directory Of Research Journal Indexing (DRJI) , Indian citation Index (ICI) , Journal Index (JI, Under Process) , Directory of abstract indexing for Journals (DAIJ) , Open Access Journals (Under Process) , Impact Factor Services For International Journals (IFSIJ) , Cosmos Impact Factor , Jour Informatics (Under Process) , Eurasian Scientific Journal Index (ESJI) , International Innovative Journal Impact Factor (IIJIF) , Science Library Index, Dubai, United Arab Emirates , Pubmed Database [NLM ID: 101669306] (Under Process) , IP Indexing (IP Value 2.40) , Web of Science Group (Under Process) , Directory of Research Journals Indexing , Scholar Article Journal Index (SAJI) , International Scientific Indexing ( ISI ) , Scope Database , Academia , 

 ISSN 2394-3211

Impact Factor: 7.065

 ICV - 79.57



Reda Elgazzar* and Saba Naghipur


Objectives: Mandibular condylar fracture is an extremely common injury in facial trauma but treatment remains controversial. The objective of this study was to provide a better understanding of clinical outcomes following different treatment modalities of condylar fracture of the mandible. Materials and Methods: We conducted a retrospective analysis using charts from patients who presented with condylar fracture to Health Sciences Center in Winnipeg, MB from 2007-2011. Ninety-seven patients were divided into three treatment groups based on management of condylar fracture: closed reduction, open reduction and internal fixation (ORIF), and conservative treatment. A data collection sheet was created for each patient to record pre-intra- postoperative patient information. Complications were recorded immediately post-operatively and at the end of follow-up period. Results: A total of 65 patients underwent closed reduction, 29 patients with displaced condylar fractures underwent ORIF, and 3 were treated conservatively. The most common complication in all treatment groups was limited inter-incisal mouth opening (<40 mm), followed by malocclusion. A small number of patients experienced temporomandibular joint (TMJ) dysfunction and mandibular deviation. No statistical difference was found in complications between open and closed treatment (P>0.05). The most common surgical complication in ORIF patients was post-operative infection occurring in 5 patients (17.2%), followed by transient facial nerve weakness occurring in 4 (13.8%) patients. Wound dehiscence, sialocele, fistula formation, scarring, and screw loosening were also observed. Conclusion: Both open and closed treatment modalities showed comparable clinical outcomes, and both presented minor-moderate post-operative complications, which were managed successfully.

Keywords: Mandibular Condylar fracture; ORIF, Closed Reduction, Conservative treatment; Complication.

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Google Scholar Indian Science Publications InfoBase Index (In Process) SOCOLAR, China Research Bible, Fuchu, Tokyo. JAPAN International Society for Research activity (ISRA) Scientific Indexing Services (SIS) Polish Scholarly Bibliography Global Impact Factor (GIF) (Under Process) Universal Impact Factor International Scientific Indexing (ISI), UAE Index Copernicus CAS (A Division of American Chemical Society) USA (Under Process) Directory of Open Access Journal (DOAJ, Sweden, in process) UDLedge Science Citation Index CiteFactor Directory Of Research Journal Indexing (DRJI) Indian citation Index (ICI) Journal Index (JI, Under Process) Directory of abstract indexing for Journals (DAIJ) Open Access Journals (Under Process) Impact Factor Services For International Journals (IFSIJ) Cosmos Impact Factor Jour Informatics (Under Process) Eurasian Scientific Journal Index (ESJI) International Innovative Journal Impact Factor (IIJIF) Science Library Index, Dubai, United Arab Emirates Pubmed Database [NLM ID: 101669306] (Under Process) IP Indexing (IP Value 2.40) Web of Science Group (Under Process) Directory of Research Journals Indexing Scholar Article Journal Index (SAJI) International Scientific Indexing ( ISI ) Scope Database Academia