Published in:
01-04-2014 | Head and Neck
Analysis of mandibular condylar and glenoid fossa fractures with computed tomography
Authors:
Ichiro Ogura, Yusuke Sasaki, Takashi Kaneda
Published in:
European Radiology
|
Issue 4/2014
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Abstract
Objectives
The purpose of this study was to investigate the prevalence of glenoid fossa and condylar fractures in patients with mandibular fractures using multidetector computed tomography (MDCT).
Methods
A prospective study was performed in 227 patients with mandibular fractures who underwent 64-MDCT. Mandibular fractures were classified into four types: median, paramedian, angle and condylar. Statistical analysis of the relationship between prevalence of condylar fractures and mandibular fracture locations was performed using χ2 test with Fisher’s exact test. A P value less than 0.05 was considered statistically significant.
Results
The prevalence of condylar fracture was 64.8 % of all patients with mandibular fractures, 66.7 % of median type (P = 0.667), 45.5 % of paramedian type (P = 0.001) and 12.3 % of angle type (P = 0.000), respectively. Furthermore, glenoid fossa fracture was seen in 1.4 % of patients with condylar fractures.
Conclusions
The results of the presented study suggest focusing also on incidental findings such as glenoid fossa fractures.
Key Points
• The prevalence of condylar fracture was 64.8 % in patients with mandibular fractures.
• Glenoid fossa fracture was seen in 1.4 % of patients with condylar fractures.
• The study suggests a focus on incidental findings such as glenoid fossa fractures.