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March 1987

Open Treatment of Condylar Fractures With Biphase Technique

Author Affiliations

From the Department of Otolaryngology, Wayne State University School of Medicine, Detroit.

Arch Otolaryngol Head Neck Surg. 1987;113(3):262-266. doi:10.1001/archotol.1987.01860030038004

• 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.

(Arch Otolaryngol Head Neck Surg 1987;113:262-266)

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