Kondil kırıklarında tedavi yaklaşımları

Kondil kırıkları maksillofasiyal kırıklar içerisinde sık görülmektedir. Tedavi edilmeyen veya yanlış tedavi edilen kondil kırıkları ciddi sonuçlara neden olabilmektedir. Kondil kırıklarının tedavisi bölge anatomisine komşu bulunan birçok önemli vital yapı nedeniyle her zaman tartışmalı bir konu olmuştur. Bu kırıkların sınıflandırılmasında ve tedavisinde birçok farklı yöntem bildirilmiştir. Kondil kırıklarının tedavisinde günümüzde kullanılan başlıca yöntemler kapalı redüksiyon ve açık redüksiyon olarak iki ana grupta toplanabilir. Kapalı redüksiyon tedavisi uzun bir dönem kondil kırıklarının tedavisinde ilk tercih olmuştur. Osteosentez materyallerindeki gelişmeler sayesinde açık redüksiyon tedavisi giderek daha popüler hale gelmektedir. Kondil kırıklarının tedavinde; kırık fragmanların durumu, hastanın yaşı ve klinik semptomları göz önünde bulundurularak en uygun tedavi yöntemi tercih edilmelidir. Bu makalede, kondil kırıklarının sınıflandırılması ve tedavisinde bildirilen güncel ve farklı tedavi yöntemleri değerlendirilmiş ve gözden geçirilmiştir.

Treatment modalities of mandibular condylar fractures

Mandibular condylar fracture is one of the commonest maxillofacial fractures. Untreated or improperly treated mandibular condylar fractures can cause serious consequences. The treatment of mandibular condylar fractures has always been a controversial issue because of the many important vital structures adjacent to the regional anatomy. Several different methods have been reported in the classification and treatment of these fractures.The main methods currently used in the treatment of mandibular condylar fractures are divided into two main groups as closed reduction and open reduction. Closed reductiont is the first choice in the treatment of condylar fractures for a long time. Open reduction is becoming more popular due to improvements in osteosynthesis materials. The most appropriate treatment method should be chosen considering the condition of the fragments, age of the patient and clinical symptoms. In this article, current and different treatment modalities reported in the classification and treatment of condylar fractures have been evaluated and reviewed.

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