Modification of Closed Reduction Technique to Manage Unilateral Displaced Condylar Fractures: A Case Report


Kütük N., Bilge S. , Çelebi S.

IAOMS- AÇBİD Joint Congress in Conjunction with AÇBİD 12th Congress, Antalya, Türkiye, Antalya, Türkiye, 9 - 13 Mayıs 2018, cilt.1, no.1, ss.250

  • Cilt numarası: 1
  • Basıldığı Şehir: Antalya
  • Basıldığı Ülke: Türkiye
  • Sayfa Sayıları: ss.250

Özet

Objective: Mandibular condyle fractures are the most common injures of maxillomandibular trauma.It causes decreased mouth opening, facial asymmetry and interferencases at affected side. Surgical or Non- surgical method is used in this case. The aim of this case was to presentation treatment of medial displaced condylar fracture with closed reduction technique

Case: The following protocol was used in the Oral and Maxillofacial Surgery Clinic in Erciyes University for treatment, the patient had low interincisal distance and deflection to the affected side after a motorcycle crash. A 17-year-old boy was referred to our clinic about significant facial asymmetry and pain, he had a mouth openning of 29 mm. After cone beam tomography evaluation the author has seen a medial displaced condylar fracture and for treatment a closed reduction with acrylic bite block was chosen. Occlusal appliance has 8 mm premature contact on the affected side. After two weeks intermaxillary fixation application the patient was called three times in a week to eradicate the appliances acrylic area step by step. After 6 weeks of IMF the angle of the fractures has checked and Interincisal mouth opening was 23 mm. The patient was given physiotherapy to prevent ankylosis and was called monthly to check the mouth opening and deviation. The last clinical examination a maximum mouth opening of 41 mm and no deviation was detected.

Conclusion: Open reduction isn’t a definite indication treatment for a displaced condyle fracture because it has many complications.This modified technique will manage unilateral displaced condylar fractures successfully.

Keywords: condyle fractures, closed reduction, intermaxillary fixation, mouth opening