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James A. Fernandez, MD; Robert H. Mathog, MD

Arch Otolaryngol Head Neck Surg. 1987;113(3):262-266.

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)

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

Footnotes
Accepted for publication Dec 3, 1986.

Read before the Spring Meeting of the American Academy of Facial Plastic and Reconstructive Surgery, Palm Beach, Fla, May 9, 1986.

Reprint requests to Department of Otolaryngology, Wayne State University School of Medicine, 540 E Canfield Ave, 5E University Health Center, Detroit, MI 48201 (Dr Mathog).

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