[Comparison of therapeutic efficacy between surgical and non-surgical treatment on mandibular condylar fractures].

PURPOSE: To compare the therapeutic efficacy between surgical and non-surgical treatment on mandibular condylar fractures. METHODS: Patients with mandibular condylar fractures who were treated in our department with complete record from January, 1987 to June, 2009 were collected in this study. We conducted a retrospective analysis on the pathogenic factor, type, treatments and therapeutic efficacy of mandibular condylar fractures to compare the therapeutic efficacy between surgical and non-surgical treatment. RESULTS: A total of 228 patients were included in this study,among which 130 patients were treated by surgical procedure and the other 98 patients were treated by non-surgical treatment. All the patients were followed up for 1.5 years at average. Postoperative opening wide in the midline, occlusal relation and radiographs were examined to evaluate the therapeutic efficacy. Both surgical and non-surgical treatment showed good result. CONCLUSIONS: Surgical and non-surgical treatment for mandibular condylar fracture can achieve good results, when indication is selected appropriately. Non-surgical treatment is acceptable for young children or preschool children, whose mandibular condylar can accommodate well because of their vigorous growth and development and reconstruction function.