[Skip to Navigation]
Article
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
Abstract

• 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)

Add or change institution
×