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Bilateral mandibular condyle fractures: Should we open both?
Kedarnath Nakkalahalli Seshappa1, Shruthi Rangaswamy1
1Department of Oral and Maxillofacial Surgery, Rajarajeswari Dental College and Hospital, Bengaluru, Karnataka, India.
National Journal of Maxillofacial Surgery
|April 26, 2021
Summary
Bilateral condylar fractures are often undertreated. This study presents a novel approach of surgically treating both sides with open reduction and internal fixation (ORIF), offering potential advantages over traditional methods.
Area of Science:
- Oral and Maxillofacial Surgery
- Trauma Surgery
- Orthognathic Surgery
Background:
- Bilateral condylar fractures are common but frequently undertreated, with one side often managed conservatively.
- This leads to complications like loss of ramal height, anterior open bite, and disruption of articular surfaces.
- Current practice often involves Inter Maxillary Fixation (IMF) even after unilateral surgical repair.
Observation:
- Two cases of bilateral mandibular condylar fractures were treated.
- Both fractured sides were addressed using open reduction and internal fixation (ORIF).
Findings:
- Bilateral ORIF for condylar fractures is a viable treatment option.
- This approach may avoid the need for prolonged Inter Maxillary Fixation (IMF).
Implications:
- This technique offers a new surgical approach for managing bilateral condylar fractures.
- Bilateral ORIF may lead to improved functional and aesthetic outcomes.
- Further research is warranted to explore the full benefits of this bilateral surgical strategy.
