J Korean Assoc Oral Maxillofac Surg.  2021 Oct;47(5):403-406. 10.5125/jkaoms.2021.47.5.403.

New protocol for simplified reduction and fixation of subcondylar fractures of the mandible: a technical note

• Kamat SM
• Dhupar V
• Akkara F

• KMID: 2521799
• DOI: http://doi.org/10.5125/jkaoms.2021.47.5.403

Abstract

The dilemma regarding the management of condylar fractures generally revolves around the surgical approach, implant design, and the surgeon’s experience. Zide and Kent’s guidelines streamlined the decision making process for condylar fractures. However, there exists no standardized protocol for reduction and fixation of condylar fractures. Here, we have described a detailed and stepwise protocol, common to any surgical approach, that would lead to predictable, reproducible, and repeatable results in every surgeon’s hands.

Keyword

Temporomandibular joint; Subcondylar fractures; Open reduction; Internal fixation

Figure

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  Fig. 1 Rochester-Pean curved hemostatic forceps (16 cm).

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  Fig. 2 Lateralization and drilling of the proximal segment for fixation of screw in hole No. 2 of the four-hole with gap titanium miniplate.

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  Fig. 3 Screw fixations at hole No. 2 making the miniplate jut out laterally along the long axis of the proximal segment followed by anatomical reduction of the fracture by pulling the miniplate inferiorly towards the distal segment using the sharp end of periosteal elevator in hole No. 4.

Reference

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