Science, Technology, Engineering and Mathematics.
Open Access

ROLE OF RETENTION OF THE CONDYLAR CARTILAGE IN OPEN TREATMENT OF INTRACAPSULAR CONDYLAR FRACTURES: HISTOPATHOLOGICAL OBSERVATION

Download as PDF

Volume 1, Issue 1, Pp 35-46, 2018

Author(s)

Zhiqiang Feng#, Xufeng Chen#, Xiaozhen Zhan, Linwei Huang, Qiang Lin, Renfa Lai

Affiliation(s)

Department of Stomatology of the First Affiliated Hospital of Jinan University, Guangzhou, Guangdong Province 510630, China

Corresponding Author

Renfa Lai

ABSTRACT

Our aim was to investigate the role of retention of the condylar cartilage in open reduction and internal fixation (ORIF) of intracapsular condylar fractures (ICFs) in growing goat’s by histopathological observation. Twelve goats 6 months old were randomly divided into three groups. ICFs were created bilaterally in mandibular condyles and treated with ORIF. On the one side (n=4) the condylar cartilage was removed, and on the other side (n=4) it was retained. Condyles in the control group (n=4) were untouched. Experimental animals were sacrificed at the following intervals, 3 months and 6 months postoperatively. Specimens were harvested for tissue slice observation. Tissue slices of the condyles with the articular cartilage retained showed a normal TMJ structure and no differences with the normal condylar tissue structures. The basic structures of cartilage layer of the condyle with articular cartilage removed disappeared. The surface of mature bone tissue of the condyle directly connected with fibrous tissue of the articular disc. The results of this study suggest that retaining condylar cartilage in the ORIF for ICF of growing goats has no harmful effect on condylar growth, but removal can lead to the articular disc adhesion and limit growth.

KEYWORDS

Intracapsular condylar fracture; Open reduction and internal fixation; Temporomandibular joint; Growing goat

CITE THIS PAPER

Zhiqiang Feng, Xufeng Chen, Xiaozhen Zhan, Linwei Huang, Qiang Lin, Renfa Lai. Role of retention of the condylar cartilage in open treatment of intracapsular condylar fractures: histopathological observation. Acta Translational Medicine. 2018, 1(1): 47-52.

REFERENCES

[1] Bamjee Y, Lownie JF, Cleaton-Jones PE, et al. Maxillofacial injuries in a group of South Africans under 18 years of age. Br J Oral Maxillofac Surg. 1996;34(4):298-302.
[2] Haug RH, Assael LA. Outcomes of open versus closed treatment of mandibular subcondylar fractures. J Oral Maxillofac Surg. 2001;59(4):370-375.
[3] Oji C. Fractures of the facial skeleton in children: a survey of patients under the age of 11 years. J Craniomaxillofac Surg. 1998;26(5):322-325.
[4] Bos RR, Ward Booth RP, Bont LG. Mandibular condyle fractures: a consensus. Br J Oral Maxillofac Surg. 1999;37(2):87-89.
[5] Lee SK, Kim YS, Oh HS, et al. Prenatal development of the human mandible. Anat Rec. 2001;263(3):314-325.
[6] Smartt JM, Jr., Low DW, Bartlett SP. The pediatric mandible: I. A primer on growth and development. Plast Reconstr Surg. 2005;116(1):14e-23e.
[7] He D, Yang C, Chen M, et al. Modified preauricular approach and rigid internal fixation for intracapsular condyle fracture of the mandible. J Oral Maxillofac Surg. 2010;68(7):1578-1584.
[8] Landes CA, Day K, Glasl B, et al. Prospective evaluation of closed treatment of nondisplaced and nondislocated mandibular condyle fractures versus open reposition and rigid fixation of displaced and dislocated fractures in children. J Oral Maxillofac Surg. 2008;66(6):1184-1193.
[9] Feng Z, Li L, He D, et al. Role of retention of the condylar cartilage in open treatment of intracapsular condylar fractures in growing goats: three-dimensional computed tomographic analysis. Br J Oral Maxillofac Surg. 2012;50(6):523-527.
[10] Thoren H, Hallikainen D, Iizuka T, et al. Condylar process fractures in children: a follow-up study of fractures with total dislocation of the condyle from the glenoid fossa. J Oral Maxillofac Surg. 2001;59(7):768-773; discussion 764-773.
[11] Choi J, Oh N, Kim IK. A follow-up study of condyle fracture in children. Int J Oral Maxillofac Surg. 2005;34(8):851-858.
[12] Thoren H, Iizuka T, Hallikainen D, et al. Radiologic changes of the temporomandibular joint after condylar fractures in childhood. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 1998;86(6):738-745.
[13] Skolnick J, Iranpour B, Westesson PL, et al. Prepubertal trauma and mandibular asymmetry in orthognathic surgery and orthodontic patients. Am J Orthod Dentofacial Orthop. 1994;105(1):73-77.
[14] Long X, Goss AN. A sheep model of intracapsular condylar fracture. J Oral Maxillofac Surg. 2007;65(6):1102-1108.
[15] Graham GG, Peltier JR. The management of mandibular fractures in children. J Oral Surg Anesth Hosp Dent Serv. 1960;18:416-423.
[16] Rowe NL. Fractures of the jaws in children. J Oral Surg. 1969;27(7):497-507.
[17] Zimmermann CE, Troulis MJ, Kaban LB. Pediatric facial fractures: recent advances in prevention, diagnosis and management. Int J Oral Maxillofac Surg. 2006;35(1):2-13.

All published work is licensed under a Creative Commons Attribution 4.0 International License. sitemap
Copyright © 2017 - 2025 Science, Technology, Engineering and Mathematics.   All Rights Reserved.