Delayed open reduction and single screw internal fixation as a treatment option in cases of failed non-surgical treatment of bilateral condylar head fractures with fragmentation. Issue 10 (October 2016)

• Record Type: Journal Article
• Authors: Zhang, Bin; Yang, Mingliang; Zhou, Qing; Liu, Qiang
• Is Part Of: Journal of cranio-maxillofacial surgery. Volume 44:Issue 10(2016)
• Page Start: 1655
• Page End: 1661
• Publication Date: 2016-10
• Subjects: Open reduction -- Internal fixation -- Delayed bilateral condylar head fracture -- Fragmentation -- Single screw; Skull -- Surgery -- Periodicals; Maxilla -- Surgery -- Periodicals; Face -- Surgery -- Periodicals; Surgery, Plastic -- Periodicals; Maxilla -- surgery -- Periodicals; Face -- surgery -- Periodicals; Skull -- surgery -- Periodicals; Oral Surgical Procedures -- Periodicals; Reconstructive Surgical Procedures -- Periodicals; Surgery, Plastic -- Periodicals; Surgery, Oral -- Periodicals; Electronic journals; 617.514
• DOI: 10.1016/j.jcms.2016.08.013
• Languages: English
• ISSNs: 1010-5182

Abstract

Abstract: Purpose: To share our experience in the open reduction and single screw internal fixation of delayed bilateral condylar head fractures with fragmentation and evaluate its feasibility and outcomes. Patients and methods: The study involved 6 males and 1 female. All patients had multiple injuries at different body sites and failed non-surgical treatment of bilateral condylar head fractures. The mean period between the injury and the operation was 5.7 (4–8) weeks. According to the preoperative computer-aided design, and the clinical manifestations, the fracture fragments were reduced and fixed with a single screw. A helical CT scan was requested postoperatively to check the reduction of the fragments and the location of the screws. Mean follow-up duration was 9.7 (8–14) months. Result: The malocclusion was corrected after operation. The intraoperative passive mouth opening was 3.93 ± 0.19 cm. The mouth opening was 3.43 ± 0.35 cm in 3 months follow-up, and more than 3 transverse fingers at the last follow up. No one had a progressive limitation of the mouth opening in 8–14 months of follow up. Conclusions: The strategy of open reduction and single screw internal fixation of bilateral condylar head fracture with fragmentation of mandible is feasible and effective. It is a treatment option in the rare delayed cases of failed non-surgical treatment.