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Rigid External Fixation and Condylar Remodeling

Rinna, C MD; Saltarel, A MD; Spuntarelli, G MD; Marianetti, T M. MD; Tedaldi, M MD

doi: 10.1097/01.sap.0000250753.17709.5b
Advances in Plastic Surgery
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Condylar fractures, instead of other mandibular fractures, play a primary importance role because their high incidence and the historic controversy existent in literature regarding their treatment. Recent studies prove that conservative treatment of condylar fractures, although not determining perfect alignment of the fractured segments, leads to a series of histologic and morphologic healing processes ending with consolidation of the fracture and functional recovery of the TMJ (temporo-mandibular joint).

In this study, we observed long-term results of 2 cases of bicondylar fracture treated with surgical reduction and rigid external fixation. Rx orthopantomography control 1 year after surgery showed condylar remodeling bilaterally with good functional recovery.

Our school affirms that semirigid fixation system allows optimal function between the articular head and the glenoid fossa, with good tridimensional repositioning of the fractured segments.

Two patients with bicondylar fractures were treated with pretragal open reductions with replacement of the condyles into the glenoid fossa and rigid external fixation, thereby avoiding intermaxillary fixation.

From the Università Degli Studi di Roma “La Sapienza,” Cattedra Di Chirurgia Maxillo-Facciale, Roma, Italy.

Received September 21, 2006 and accepted for publication October 10, 2006.

Reprints: Massimiliano Tedaldi, Via Fontana Vecchia 6, 00044 Frascati, Roma, Italy. E-mail: maxtedaldi@libero.it.

© 2007 Lippincott Williams & Wilkins, Inc.