Year: 2025
Type: article
Abstract: The following description outlines how the current standards for treating mandibular condyle fractures hatched, so that they have grown into mature techniques for guiding patients to recovery.The aim of the present article is to highlight the long way of mandibular condylar process fracture treatment leading to a satisfactory and low-complicationrate outcome.Treatment modalities for condylar process fractures remain the most controversial issue in maxillofacial traumatology.This is strange, since a fracture of the mandible is the most common fracture of the facial skeleton, and the condylar process is the most common location of mandibular fractures.1 This epidemiology is due to the rather prominent anatomical position of the mandible and some difficulties in protecting it.The earliest records on the treatment of mandibular fractures date back to the Bronze Age. 2 In the "Edwin Smith Papyrus" there is a case report written in 1700 B.C.The author of this military medical guide advises not treating an open fracture of the mandible, since the patient will die anyway.This state of medical knowledge persisted until the Napoleonic Wars, when Desault pointed out that in the treatment of mandibular condylar process fractures, it was very important to achieve good contact between two bone fragments.3 The impetus for the development of maxillofacial traumatology appeared to be armed conflicts, i.e., World Wars I and II, the Korean War, and the Vietnam War, due to the involvement of large, rich countries and a rapidly increasing number of patients.Lambotte introduced the term 'osteosynthesis ' (1907), Kazanjian used the splinting of the teeth, tooth ligation and bone sutures (1914-1918), Ivy introduced a ligature with a loop (1922), and Ginestet introduced Kirshner wires and external immobilization (1936).Later, onlay individual silver splints were used for the immobilization of reduced bone fragments.Then, the era of closed treatment in all mandibular fractures, including condylar fractures, set in. 4 However, in 1886, the young and relatively unknown surgeon Carl Hansmann presented his experience with the plate osteosynthesis system at the annual meeting of the German Surgical Society. 5 He described 2 patients with mandibular fractures he treated with his method. Cite as
Source: Dental and Medical Problems
DOI: 10.17219/dmp/203039
Author: Marcin Kozakiewicz
Institution: Medical University of Lodz
Language: English
Subfield: Surgery
Field: Medicine
Domain: Health Sciences
Open Access status: diamond
Funder: Uniwersytet Łódzki
OpenAlex ID: W4415507931
FWCI:
Cites:
Cited by:
Related to: