ANALYSIS OF METHODS OF PREVENTION OF COMPLICATIONS IN PATIENTS WITH FRACTURES OF THE CONDYLAR PROCESS OF THE LOWER JAW
Keywords:
fractures of the condylar process of the lower jaw, diagnosis, computer tomography, prevention of complications, temporomandibular joint, impaired function of the chewing apparatusAbstract
Introduction. In modern medicine, treatment of condylar fractures is carried out intra-oral and with extra-oral access. The method of treatment is determined depending on the age of the patient, as well as the classification of fractures, which does not include the assessment of soft tissue injury, occlusion stability, or patient bite.The aim – analysis of literary sources, which concerns modern methods of prevention of complications after fractures of the condylar process of the lower jaw.Materials and methods. A search was conducted for scientific studies contained in the PubMed, Scopus, Web of Science and Google Scholar databases and related to modern methods of preventing complications after fractures of the condylar process of the lower jaw.The results. Scientists identify effective subsequent methods of preventing complications after mandibular condylar fractures, such as the physiotherapeutic method for improving the functioning of the muscular system, the occlusive splint technique for normalizing the load on the chewing system and the arthrocentesis method for prevention, and the treatment of ankylosis and arthritis after trauma, although more logical was the combination of arthrocentesis with PRP injections, the effectiveness of which was proven in the study, which did not include trauma. Physical therapy can be called an additional method of preventing disorders of the muscle component. The effect of trauma in the TMJ region on the development of trigeminal nerve defects remained a completely unconsidered question, although trauma and degenerative changes of the muscle component in the chewing system are one of the options for the development of trigeminal neuralgia.Conclusion. Prevention of complications after surgical treatment of fractures of the condylar process of the lower jaw is a necessary component of the rehabilitation of such patients. It is necessary to take into account the type of medical care, the level of soft tissue damage, as well as the stability and uniformity of the distribution of the chewing load on the maxillofacial apparatus, as on the system that ensures the harmonious recovery of TMJ.
References
Renapurkar SK, Strauss RA. Temporomandibular Joint Trauma. Atlas Oral Maxillofac Surg Clin North Am. 2019 Sep;27(2):99-106. doi: 10.1016/j.cxom.2019.05.001. Epub 2019 Jun 22. PMID: 31345496.
Pohranychna KR, Stasyshyn AR, Matolych UD. Early diagnostics of temporomandibular joint structural elements injures caused by traumatic mandibular bone fractures. Pol Przegl Chir. 2017 Jun 30;89(3):31-35. PMID: 28703117.
Weinberg FM, Speksnijder CM, Forouzanfar T, Rosenberg AJWP. Articular soft tissue injuries associated with mandibular condyle fractures and the effects on oral function. Int J Oral Maxillofac Surg. 2019 Jun;48(6):746-758. doi: 10.1016/ j.ijom.2019.01.025. Epub 2019 Feb 14. PMID: 30773333.
Gravvanis A, Anterriotis D, Kakagia D. Mandibular Condyle Reconstruction With Fibula Free-Tissue Transfer: The Role of the Masseter Muscle. J Craniofac Surg. 2017 Nov;28(8):1955-1959. doi: 10.1097/SCS.0000000000003998. PMID: 28938332.
Throckmorton GS, Ellis E 3rd, Hayasaki H. Jaw kinematics during mastication after unilateral fractures of the mandibular condylar process. Am J Orthod Dentofacial Orthop. 2003 Dec;124(6):695-707. doi: 10.1016/j.ajodo.2003.03.002. PMID: 14666085.
Talwar RM, Ellis E 3rd, Throckmorton GS. Adaptations of the masticatory system after bilateral fractures of the mandibular condylar process. J Oral Maxillofac Surg. 1998 Apr;56(4):430-9. doi: 10.1016/s0278-2391(98)90707-8. PMID: 9541341.
Bohluli B, Mohammadi E, Oskui IZ, Moharamnejad N. Treatment of mandibular angle fracture: Revision of the basic principles. Chin J Traumatol. 2019 Apr;22(2):117-119. doi: 10.1016/j.cjtee.2019.01.005. Epub 2019 Mar 1. PMID: 31003853; PMCID: PMC6488520.
Hlawitschka M, Loukota R, Eckelt U. Functional and radiological results of open and closed treatment of intracapsular (diacapitular) condylar fractures of the mandible. Int J Oral Maxillofac Surg. 2005 Sep;34(6):597-604. doi: 10.1016/ j.ijom.2005.02.004. PMID: 16053886.
Lee YH, Lee KM, Kim T, Hong JP. Psychological Factors that Influence Decision-Making Regarding Trauma-Related Pain in Adolescents with Temporomandibular Disorder. Sci Rep. 2019 Dec 10;9(1):18728. doi: 10.1038/s41598-019-55274-9. PMID: 31822745; PMCID: PMC6904577.
Sharma S, Gupta DS, Pal US, Jurel SK. Etiological factors of temporomandibular joint disorders. Natl J Maxillofac Surg. 2011 Jul;2(2):116-9. doi: 10.4103/0975-5950.94463. PMID: 22639496; PMCID: PMC3343405.
Rudderman RH, Mullen RL, Phillips JH. The biophysics of mandibular fractures: an evolution toward understanding. Plast Reconstr Surg. 2008 Feb;121(2):596-607. doi: 10.1097/01.prs.0000297646.86919.b7. PMID: 18300980.
Li Z, Djae KA, Li ZB. Post-traumatic bifid condyle: the pathogenesis analysis. Dent Traumatol. 2011 Dec;27(6):452-4. doi: 10.1111/j.1600-9657.2011.01035.x. Epub 2011 Jul 14. PMID: 21752190.
Sharma R, Muralidharan CG, Verma M, Pannu S, Patrikar S. MRI Changes in the Temporomandibular Joint after Mandibular Advancement. J Oral Maxillofac Surg. 2020 May;78(5):806-812. doi: 10.1016/j.joms.2019.12.028. Epub 2020 Jan 7. PMID: 32006492.
Uppal N. Mandibular Physiotherapy for Trauma to the Temporomandibular Joint. Indian J Pediatr. 2019 Mar;86(3):222-223. doi: 10.1007/s12098-018-2800-3. Epub 2018 Oct 16. PMID: 30328083.
Davis B. Late reconstruction of condylar neck and head fractures. Oral Maxillofac Surg Clin North Am. 2013 Nov;25(4):661-81. doi: 10.1016/j.coms.2013.07.006. Epub 2013 Sep 7. PMID: 24021625.
Yadav P, Roychoudhury A, Bhutia O. Strategies to reduce re-ankylosis in temporomandibular joint ankylosis patients. Br J Oral Maxillofac Surg. 2021 Sep;59(7):820-825. doi: 10.1016/j.bjoms.2021.02.007. Epub 2021 Feb 20. PMID: 34272105.
Prathap V, Tarun S, S LS, Balasubramanian S, Panneerselvam E, Vb KR. Do Splints Play a Role in the Management of Condylar Postfracture Syndrome After Mandibular Angle Fractures?-A Randomized Controlled Clinical Trial. J Oral Maxillofac Surg. 2020 Feb;78(2):241-247. doi: 10.1016/j.joms.2019.09.028. Epub 2019 Oct 15. PMID: 31704268.
Park JY, Lee JH. Efficacy of arthrocentesis and lavage for treatment of post-traumatic arthritis in temporomandibular joints. J Korean Assoc Oral Maxillofac Surg. 2020 Jun 30;46(3):174-182. doi: 10.5125/jkaoms.2020.46.3.174. PMID: 32606278; PMCID: PMC7338635.
Cömert Kiliç S, Güngörmüş M, Sümbüllü MA. Is Arthrocentesis Plus Platelet-Rich Plasma Superior to Arthrocentesis Alone in the Treatment of Temporomandibular Joint Osteoarthritis? A Randomized Clinical Trial. J Oral Maxillofac Surg. 2015 Aug;73(8):1473-83. doi: 10.1016/j.joms.2015.02.026. Epub 2015 Mar 18. PMID: 25976690.
Kulesa-Mrowiecka M, Piech J, Gaździk TS. The Effectiveness of Physical Therapy in Patients with Generalized Joint Hypermobility and Concurrent Temporomandibular Disorders-A Cross-Sectional Study. J Clin Med. 2021 Aug 25;10(17):3808. doi: 10.3390/jcm10173808. PMID: 34501255; PMCID: PMC8432079.
Jones MR, Urits I, Ehrhardt KP, Cefalu JN, Kendrick JB, Park DJ, Cornett EM, Kaye AD, Viswanath O. A Comprehensive Review of Trigeminal Neuralgia. Curr Pain Headache Rep. 2019 Aug 6;23(10):74. doi: 10.1007/s11916-019-0810-0. PMID: 31388843.
