Comparison of Post Operative Complications in Mandibular Condylar Fractures in Open Versus Closed Reduction Technique

Abstract

Objective: To compare post-operative complications of mandible condylar fractures treated by open versus close reduction technique.
Study design: Randomized control trial study
Study duration: Study was completed in six months from 20-01-2019 to 20-07-2019 at Department of Oral and Maxillofacial Surgery, Nishtar Institute of Dentistry Multan.
Results: Total 60 patients were included in study. 51 (85.0 %) were male patients while 09 (15.0 %) were female patients. Mean age of our study cases was 27.23 ± 5.76 years (with minimum age of our study cases was 20 years while maximum age was 42 years). Of these 60 study cases, 19 (31.7%) were illiterate and 41 (68.3%) were literate, unilateral fracture was noted in 49 (81.7%) and bilateral fracture in 11 (18.3%). Pain in group A was 8 (16%) and in group B was 16 (53.3%) (p = 0.064) while occlusion disturbance was 13.3 % and 43.3 % in group A and group B respectively (p = 0.020).
Conclusion: Our study results support the use of open reduction technique in the treatment of mandibular condylar fracture as compared with closed reduction technique. Open reduction Technique had signi?cantly lower occlusion disturbance and pain was also quite lower in this group. All the clinicians treating such patients should always employ open reduction technique to avoid further complication in such patients which will improve quality of life of these patients.