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Craniomaxillofacial Trauma & Reconstruction is published by MDPI from Volume 18 Issue 1 (2025). Previous articles were published by another publisher in Open Access under a CC-BY (or CC-BY-NC-ND) licence, and they are hosted by MDPI on mdpi.com as a courtesy and upon agreement with Sage.
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Article

Comparing Current Practice Habits for Treatment of Subcondylar Fracture Among Craniomaxillofacial Surgeons

by
Heather K. Schopper
1,
Brandyn Dunn
2,
Richard Davila
3,
Kevin J. Sykes
1,
John P. Flynn
1,
J. David Kriet
1 and
Clinton D. Humphrey
1,*
1
Department of Otolaryngology–Head and Neck Surgery, University of Kansas Medical Center, 3910 Rainbow Blvd, Kansas City, KS 66160, USA
2
Skin Cancer and Reconstructive Surgery Center, Newport Beach, CA, USA
3
Ohio Facial Plastics, Dublin, OH, USA
*
Author to whom correspondence should be addressed.
Craniomaxillofac. Trauma Reconstr. 2024, 17(3), 225-231; https://doi.org/10.1177/19433875231194242
Submission received: 1 November 2022 / Revised: 1 December 2022 / Accepted: 1 January 2023 / Published: 4 August 2023

Abstract

Study Design: Survey. Objective: Subcondylar fractures stand out as a particular challenge when treating maxillofacial trauma. The fracture site is often difficult to access and adjacent to critical structures like the facial nerve. Current treatment paradigms vary widely and we endeavored to elucidate these approaches from surgeons across the full breadth of Craniomaxillofacial Surgery. Methods: A survey was designed to gather general background training and experience information, perceived indications for ORIF of subcondylar fractures, options for treating subcondylar fractures, and reasoning for choosing or not choosing a given treatment approach. The survey was sent to members of AO CMF and the American Academy of Facial Plastic Surgery. Responses were collected for 4 weeks. Results: 514 total responses to the survey were obtained (response rate 17%). Of these, 43 (8.4%) identified as Otolaryngology trained, 417 (81.1%) as OMFS trained, and 54 (10.5%) as Plastic Surgery trained. While there was broad agreement in the indications for open repair, surgical approaches differed by specialty background as well as AO faculty member status. Those with less experience were less likely to perform open approaches due to lack of comfort with this skill set. Conclusions: There are some key differences in approaches to treatment of subcondylar fractures based upon specialty background and experience level. This provides an opportunity for further education to ensure optimal treatment for patients.
Keywords: subcondylar fracture; maxillomandibular fixation; open reduction; otolaryngology; plastic surgery; oral maxillofacial surgery subcondylar fracture; maxillomandibular fixation; open reduction; otolaryngology; plastic surgery; oral maxillofacial surgery

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MDPI and ACS Style

Schopper, H.K.; Dunn, B.; Davila, R.; Sykes, K.J.; Flynn, J.P.; Kriet, J.D.; Humphrey, C.D. Comparing Current Practice Habits for Treatment of Subcondylar Fracture Among Craniomaxillofacial Surgeons. Craniomaxillofac. Trauma Reconstr. 2024, 17, 225-231. https://doi.org/10.1177/19433875231194242

AMA Style

Schopper HK, Dunn B, Davila R, Sykes KJ, Flynn JP, Kriet JD, Humphrey CD. Comparing Current Practice Habits for Treatment of Subcondylar Fracture Among Craniomaxillofacial Surgeons. Craniomaxillofacial Trauma & Reconstruction. 2024; 17(3):225-231. https://doi.org/10.1177/19433875231194242

Chicago/Turabian Style

Schopper, Heather K., Brandyn Dunn, Richard Davila, Kevin J. Sykes, John P. Flynn, J. David Kriet, and Clinton D. Humphrey. 2024. "Comparing Current Practice Habits for Treatment of Subcondylar Fracture Among Craniomaxillofacial Surgeons" Craniomaxillofacial Trauma & Reconstruction 17, no. 3: 225-231. https://doi.org/10.1177/19433875231194242

APA Style

Schopper, H. K., Dunn, B., Davila, R., Sykes, K. J., Flynn, J. P., Kriet, J. D., & Humphrey, C. D. (2024). Comparing Current Practice Habits for Treatment of Subcondylar Fracture Among Craniomaxillofacial Surgeons. Craniomaxillofacial Trauma & Reconstruction, 17(3), 225-231. https://doi.org/10.1177/19433875231194242

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