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April 1968

Condylectomy: Role in Treatment of Jaw Fractures

Author Affiliations

Iowa City, Iowa, and Baltimore
From the Department of Otolaryngology and Maxillofacial Surgery, University of Iowa (Dr. Leonard), and the Division of Otolaryngology, The Johns Hopkins University School of Medicine, Baltimore. Dr. Mancoll is now in Hartford, Conn.

Arch Otolaryngol. 1968;87(4):425-433. doi:10.1001/archotol.1968.00760060427018

FRACTURES of the mandibular condyle require prompt and accurate treatment if serious irregularities in mandibular function are to be avoided.

The incidence1-3 of condylar fractures has been reported at widely differing levels as 6% of mandibular fractures in a series by Edgerton and Hill,1 up to 36% in a series by Hagan and Huelke,2 with other reports in between. The Edgerton-Hill series covered 434 fractures and the Hagan-Huelke series was 319 cases.

Desault, in a treatise on fractures in 1805, stated that restoration of condylar fragments secondary to fracture was important because failure to do so might end in a nonunion of fragments. The end result of this might render the condyle irregular and deformed, which could impede function of the jaw.

A posttreatment survey of 120 cases of mandibular condyle fracture was carried out by the Chalmers J. Lyons Club in a report in 1947. Condyle

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