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Open treatment of condylar fractures with biphase technique.

Authors
  • Fernandez, J A
  • Mathog, R H
Type
Published Article
Journal
Archives of otolaryngology--head & neck surgery
Publication Date
Mar 01, 1987
Volume
113
Issue
3
Pages
262–266
Identifiers
PMID: 3814367
Source
Medline
License
Unknown

Abstract

Most fractures of the condyle of the mandible are managed by closed reduction techniques. Commonly used methods include intermaxillary fixation with a natural dentition or with dentures or splints. Fixation for a variable period of time provides for union of the fragments. In patients in whom the condyle is badly displaced and/or the adjoining mandibular segment is unstable, open techniques are often applied. This article discusses the indications for surgery and presents a method of reducing and maintaining fixation with an external device. Although the approach requires a major surgical procedure and can potentially cause injury to the facial nerve, there is a decided advantage in the direct visualization of the reduction and immobilization of the fracture. Several cases are presented to demonstrate the method and result.

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