TY - JOUR
T1 - Surgical management of double/triple mandibular fractures involving the condylar segment
T2 - Our perspective
AU - Nayak, Sunil S.
AU - Kamath, Abhay Taranath
N1 - Publisher Copyright:
© 2017 Journal of International Society of Preventive and Community Dentistry | Published by Wolters Kluwer - Medknow.
PY - 2018/1/1
Y1 - 2018/1/1
N2 - A series of surgical cases operated in our unit are considered to analyze and evaluate the different techniques and sequencing employed in the surgical management of double/triple mandibular fractures involving a condylar fracture. Deviating from the normal sequence of reducing and fixing the dentate segment first, we addressed the condylar segment first. A combination of different approaches for different cases such as a periangular with a vestibular, a preauricular and a retromandibular with a vestibular were used according to the type of fractures. The accessibility to one difficult case with a medially displaced condyle was facilitated by using Hegar's uterine dilators. In all cases, good anatomical reduction was achieved with stable occlusion and without any signs of facial nerve impairment. The 'Condyle first' approach in the surgical management of double/triple mandibular fractures, is a reliable and efficient technique.
AB - A series of surgical cases operated in our unit are considered to analyze and evaluate the different techniques and sequencing employed in the surgical management of double/triple mandibular fractures involving a condylar fracture. Deviating from the normal sequence of reducing and fixing the dentate segment first, we addressed the condylar segment first. A combination of different approaches for different cases such as a periangular with a vestibular, a preauricular and a retromandibular with a vestibular were used according to the type of fractures. The accessibility to one difficult case with a medially displaced condyle was facilitated by using Hegar's uterine dilators. In all cases, good anatomical reduction was achieved with stable occlusion and without any signs of facial nerve impairment. The 'Condyle first' approach in the surgical management of double/triple mandibular fractures, is a reliable and efficient technique.
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U2 - 10.4103/jispcd.JISPCD_428_17
DO - 10.4103/jispcd.JISPCD_428_17
M3 - Review article
AN - SCOPUS:85042859445
SN - 2231-0762
VL - 8
SP - 87
EP - 91
JO - Journal of International Society of Preventive and Community Dentistry
JF - Journal of International Society of Preventive and Community Dentistry
IS - 1
ER -