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Closed Reduction of Laterally Displaced Fracture/Dislocation of the Mandibular Condylar Process in a Child

Christiano, Jose Guilherme MD; Dorafshar, Amir H. MD; Tufaro, Anthony P. DDS, MD, FACS; Manson, Paul N. MD

Journal of Craniofacial Surgery: July 2011 - Volume 22 - Issue 4 - p 1504-1506
doi: 10.1097/SCS.0b013e31821d4db6
Brief Clinical Studies

This is a unique case of isolated lateral fracture/dislocation of the condylar process in a 3-year-old child injured on an escalator. Immediate closed reduction under general anesthesia successfully restored condylar height and premorbid dental occlusion. Maxillomandibular fixation was not used because mandibular mobilization was encouraged. Clinical follow-up confirmed maintenance of normal dental occlusion and temporomandibular joint function.

From the Division of Plastic and Reconstructive Surgery, Department of Surgery, Johns Hopkins University, Baltimore, Maryland.

Received July 1, 2010.

Accepted for publication August 1, 2010.

Address correspondence and reprint requests to Paul N. Manson, MD, Division of Plastic and Reconstructive Surgery, The Johns Hopkins Hospital Outpatient Center, 601 N Caroline St, McElderry 8161, Baltimore, MD 21287; E-mail:

The authors report no conflicts of interest.

© 2011 Mutaz B. Habal, MD