J Korean Assoc Maxillofac Plast Reconstr Surg.  2010 Jan;32(1):43-48.

OPEN REDUCTION AND TRANSORAL FIXATION USING TROCHAR FOR MANDIBULAR SUBCONDYLE FRACTURE

• Hur JY
• Kim JY
• Lim JH
• Park KH
• Huh JK

Abstract

The mandibular condyle fracture occurs at 15-30% frequency of whole mandibular fracture. The treatment of choice is open reduction or closed reduction. In many cases, closed reduction is preferred for treatment of condylar fracture because it is hard to approach to condyle and there is risk of surgical complications, such as nerve damage in open reduction. Open reduction, however, has some advantages like possibility of anatomical reduction, occlusal stability and rapid functional recovery. Furthermore, it is possible to retain original ramal heights and to decrease deviation during mouth opening. There are many surgical approaches for open reduction of subcondyle fracture. At present, transoral approach using trochar device is tried for effective and minimally invasive method for open reduction of subcondyle fracture. And the authors report the cases of reduction of subcondyle fracture with transoral approach using trochar device.

Keyword

Mandibular condyle; Mandibular fracture; Jaw fixation technique

MeSH Terms

Jaw Fixation Techniques
Mandibular Condyle
Mandibular Fractures
Mouth