Characteristics of condylar fracture in Dr. Hasan Sadikin Central General Hospital, Bandung from 2020-2024.

Septyan Dwi Wicaksono*  -  Universitas Padjadjaran
Endang Sjamsudin  -  Universitas Padjadjaran
Eka Marwansyah Oli'i  -  Dr. Hasan Sadikin Central General Hospital
Hafidh Seno Radi Utomo  -  Dr. Hasan Sadikin Central General Hospital

(*) Corresponding Author

Background: Condylar fractures are among the most common mandibular fractures resulting from maxillofacial trauma, primarily caused by traffic accidents, occupational injuries, and sports activities. These fractures can lead to complications such as pain, mandibular deviation, malocclusion, and pathological changes in the temporomandibular joint. This study aims to identify the characteristics of condylar fractures in the Oral Surgery Department of Dr. Hasan Sadikin General Hospital Bandung from 2020 to 2024.

Method: A retrospective analysis was conducted using medical records of maxillofacial trauma patients. A total of 111 cases were analyzed based on gender, age, occupation, education level, fracture classification, trauma etiology, and management.

Result: Results showed that the majority of patients were male (72%), aged 13–24 years (48,6%), students (51,3%), and had a bachelor’s degree as the educational background (49,6%). The AO classification predominantly involved condylar neck fractures (52,3%), with traffic accidents being the leading cause (51,4%). The most common management method was open reduction and interdental wiring (76,6%).

Conclusion: These findings highlight the need for targeted road safety education, strict traffic regulations, and improved preventive measures to reduce the incidence of such injuries. Therefore, an effort must be made to improve the completeness of medical record data in order to support more accurate analysis and the implementation of future research involving more comprehensive data collection.

Keywords: Condylar fracture, Characteristics, Epidemiology, Oral Surgery

  1. Weaker FJ. Structures of the Head and Neck. Davis F, editor. 2013.
  2. Sriraam KG, Vignesh KRA. Diagnosis and Management of Mandibular Condyle Fractures. In: Sridharan G, editor. Rijeka: IntechOpen; 2021. p. Ch. 7. Available from: https://doi.org/10.5772/intechopen.93795
  3. Braun TL, Xue AS, Maricevich RS. Differences in the Management of Pediatric Facial Trauma. Semin Plast Surg. 2017 May;31(2):118–22.
  4. Al Shetawi AH, Lim CA, Singh YK, Portnof JE, Blumberg SM. Pediatric Maxillofacial Trauma: A Review of 156 Patients. J oral Maxillofac Surg Off J Am Assoc Oral Maxillofac Surg. 2016 Jul;74(7):1420.e1-4.
  5. Saluja JS, Bambawale A, Priyadharsana PS, Ganesh C, Karunajothi E, Shunmugavelu K. Prevalence and Pattern of Mandibular Fractures: A Retrospective Study in India. J Pharm Bioallied Sci. 2022 Jul;14(Suppl 1):S140–2.
  6. Vanpoecke J, Dubron K, Politis C. Condylar Fractures: An Argument for Conservative Treatment. Craniomaxillofac Trauma Reconstr. 2020 Mar;13(1):23–31.
  7. Rakhman D, Putri FA, Fathurachman F, Syamsudin E. Penatalaksanaan fraktur kondilus bilateral dan korpus mandibula dengan reduksi tertutup pada pasien remaja

    Management of bilateral condyle fracture and mandibular corpus with the closed reduction in adolescent patients

    . J Kedokt Gigi Univ Padjadjaran. 2022;33(3):54.

  8. Miloro M, Ge G, Larsen PE, Waite P. Peterson’s Principles of Oral and Maxillofacial Surgery. 3rd editio. USA: People’s Medical Publishing House; 2012. 409 p.
  9. Maurer M, Klaes T, Meier JK, Gottsauner JM, Taxis J, Schuderer J, et al. Treatment of extracapsular fractures of the mandibular condylar process: A retrospective evaluation of 377 cases. Dent Traumatol Off Publ Int Assoc Dent Traumatol. 2023 Dec;39(6):586–96.
  10. Ahmad Khan, Sertaj Khan, Saifullah, Mohammad Tariq Khan, Khadija Syed, Muhammad Sohail, et al. Pattern of Condyalr Fractures and Its Treatment in Tertiary Care Hospital-a Study. J Khyber Coll Dent. 2019;9(04):47–51.
  11. Fonseca RJ, Walker R., Baxter H., Powers M., Fros D. Oral and Maxillofacial Trauma. 4th editio. Elsevier; 2014.
  12. Prasetya DA, Widiastuti MG, Hasan CY. Evaluation of Biodegradable Fixation Application for Jaw Fracture in Pediatric Patients. Odonto Dent J. 2023;10(2):284.
  13. Debata A, Patro S, Pattnaik N, Panda M, Samal SK, Nayak SC. a Comprehensive Approach Towards Management of Mandibular Fractures. Innovative Publication Company. 2021.
  14. Segura-Palleres I, Sobrero F, Roccia F, de Oliveira Gorla LF, Pereira-Filho VA, Gallafassi D, et al. Characteristics and age-related injury patterns of maxillofacial fractures in children and adolescents: A multicentric and prospective study. Dent Traumatol Off Publ Int Assoc Dent Traumatol. 2022 Jun;38(3):213–22.
  15. Dhupar V. Fracture of the Mandibular Condyle BT - Oral and Maxillofacial Surgery for the Clinician. In: Bonanthaya K, Panneerselvam E, Manuel S, Kumar V V, Rai A, editors. Singapore: Springer Nature Singapore; 2021. p. 1085–114. Available from: https://doi.org/10.1007/978-981-15-1346-6_53
  16. Sattar N, Rabia Rahat Gillani S, Erkin M, Khan M, Abbas M, Khurshid Khattak N. Role of environmental and occupational factors in fall-related maxillofacial fractures. Clin Exp Dent Res. 2022 Jun;8(3):737–41.
  17. Ellis E, Perez D. Fractures of the Condylar Process of the Mandible. In 2020. p. 186–200.
  18. Kuang SJ, He YQ, Zheng YH, Zhang ZG. Open reduction and internal fixation of mandibular condylar fractures: A national inpatient sample analysis, 2005-2014. Medicine (Baltimore). 2019 Sep;98(37):e16814.

Lisensi Creative Commons
This work is licensed under a Lisensi Creative Commons Atribusi-BerbagiSerupa 4.0 Internasional.
Contact us: Odonto Dental Journal: Jl. Raya Kaligawe Km.4, PO BOX 1054/SM Semarang, Central Java, Indonesia, 50112. Email: odontodentaljournal@unissula.ac.id
apps