20.500.12556/DiRROS-29527 Management of mandibular condyle fractures in pediatric patients a multicentric retrospective study with 180 children and adolescents Background: Mandibular condyle fractures in pediatric patients can lead to crippling sequelae such as ankylosis, pain and facial deformity if not managed properly. However, there is no consensus on the best approach for treating these fractures in children. Objective: This study aimed to describe the management of mandibular condyle fractures in growing patients across 14 maxillofacial departments worldwide. Methods: A retrospective multicenter study was conducted on children and adolescents aged 0 to 16 who had at least one mandibular condyle fracture. This study included patients who underwent expectant, closed, or open management and were treated over an 11-year period. Results: 180 patients had at least one mandibular condyle fracture, and 37 had a second condylar fracture. One hundred sixteen patients (65%) were males, and 64 (35%) were females (ratio 1.8:1). An expectant strategy was chosen in 51 (28%) patients, a closed treatment—stand-alone maxillomandibular fixation (MMF)—in 47 (26%), and open reduction and internal fixation (ORIF) was performed in 82 (46%) patients. The management varied significantly between the different departments (p < 0.0001). Significant differences were also identified between the fracture type (non-displaced, displaced or comminuted) and the management of the 180 patients with a single condylar fracture. Out of 50 non-displaced fractures, only 3 (6%) had ORIF, 25 (50%) had expectant management, and 22 (44%) had MMF. Out of 129 displaced fractures, 79 (62%) had ORIF, 25 (19%) had a soft diet, and 25 (19%) had MMF. Conclusions: Expectative management, MMF, and ORIF were all effective in treating pediatric mandibular condyle fractures, with a low incidence of complications and asymmetry. mandibular condyle fracture open reduction and internal fixation pediatric mandibular condyle fractures pediatric maxillofacial trauma expectant management maxillomandibular fixation zlom kondila spodnje čeljusti ORIF otroški zlomi true false true Angleški jezik Slovenski jezik Neznano 2026-05-22 12:59:08 2026-05-22 12:59:08 2026-05-23 04:01:48 0000-00-00 00:00:00 2024 0 0 Nasl. z nasl. zaslona; Opis vira z dne 22. 5. 2026; str. 1-16 issue 18, [article no.] 5455 Vol. 13 2024 0000-00-00 Zaloznikova Objavljeno NiDoloceno 0000-00-00 0000-00-00 0000-00-00 616.31 2077-0383 10.3390/jcm13185455 279082243 RAZ_Bottini_Gian_Battista_2024.pdf RAZ_Bottini_Gian_Battista_2024.pdf 1 2EB1C7FA47BB37FC41D5471658F6A423 2f8ea36c0be76f905bfa4c9e596fc2f342d305f4b7cdaa35bb0b8942d5577fb3 6043caf1-55cd-11f1-8a5a-001a4af901a5 https://dirros.openscience.si/Dokument.php?lang=slv&id=44312 https://www.mdpi.com/2077-0383/13/18/5455 1 435e3300-55cd-11f1-8a5a-001a4af901a5 https://dirros.openscience.si/Dokument.php?lang=slv&id=44311 Univerzitetni klinični center Ljubljana 0 0 0