Related Experiment Videos
Osteotomy-osteosynthesis in displaced condylar fractures
P Mikkonen1, C Lindqvist, A Pihakari
1Department of Maxillofacial Surgery, Helsinki University Central Hospital, Finland.
International Journal of Oral and Maxillofacial Surgery
|October 1, 1989
Summary
This study presents a surgical technique for treating complex mandibular condyle fractures, achieving near-complete joint function restoration with no permanent complications in nine male patients. The novel approach proved effective for difficult condylar repositioning cases.
Area of Science:
- Oral and Maxillofacial Surgery
- Orthopedic Surgery
- Trauma Surgery
Background:
- Condylar fractures of the mandible often present with severe malocclusion and anteromedial displacement.
- Standard open reduction can be challenging due to the inability to reposition the condyle without additional procedures.
Purpose of the Study:
- To evaluate a surgical method involving condylar head detachment for treating complex mandibular condylar fractures.
- To assess the functional and radiological outcomes of this technique in male patients.
Main Methods:
- Nine male patients with severe malocclusion and displaced condylar fractures underwent open reduction with ramus osteotomy and temporary condylectomy.
- Surgical intervention involved detachment of the condylar head for repositioning.
Main Results:
- Follow-up at approximately 32 months showed no permanent complications and near-complete restoration of joint function.
- Radiographic evaluation revealed some condylar shortening and deformation, but translation and rotation movements were nearly normal.
Conclusions:
- The described surgical method, including temporary condylectomy, is a viable option for rare mandibular condylar fractures where standard repositioning is difficult.
- This technique facilitates successful treatment and functional recovery in complex cases.