Akademik Veri Yönetim Sistemi
açbid, Antalya, Türkiye, 10 - 14 Mayıs 2023, ss.71-72
Objective: The mandible is one of the most fractured bones among the maxillofacial bones. The condylar process of the mandible is the most common fracture type resulting from direct trauma to the chin. Injuries occurring in the mandibular condyle and joint region need to be treated correctly, as vital functions are affected. It has been reported that open reduction is indicated when the condylar fragment is displaced medially.
Case: A 19-year-old male patient presented to our clinic with pain in front of the left ear. The patient’s history revealed that he had been struck a week earlier. Clinical examination showed limited mouth opening, malocclusion, and pain. Radiographic imaging revealed a medially displaced fracture of the left condyle head. The patient was decided to be treated with open reduction under general anesthesia. A preauricular approach was chosen to access the operative site. During surgery, occlusion was restored to its original pre-fracture state, and stabilized with intermaxillary fixation (IMF) screws. After repositioning the medially displaced condyle, the fragments were fixed using mini plates and screws. In the postoperative followup, mouth opening was normal and occlusion was satisfactory.
Conclusion: One of the most preferred methods in the rigid internal fixation of subcondylar
fractures with mini plate/screw systems is the application of a single plate placed vertically
parallel to the long axis of the condyle. The most preferred extraoral approach for treating
high-level condyle fractures with open reduction is the preauricular approach. The patient is
still being followed up.