Resumo

ZANELLA, Thiago Aragon; BERTHOLD, Roger Corrêa de Barros  e  HEITZ, Claiton. A new condylar fracture fixation technique. Stomatos [online]. 2014, vol.20, n.38, pp. 47-50. ISSN 1519-4442.

Mandibular condyle fractures are common and the best approach to treating them has been extensively discussed in the literature. There are basically two different approaches to treatment of condyle fractures: the functional method and the surgical method. In the case described here, the patient underwent general anesthesia for open reduction and internal fixation. After a submandibular approach to access the fracture site, a bur was used to make a perforation in the base of the condylar segment and a long screw (11 mm) was inserted in place leaving a portion protruding from the bone (6 mm). A groove was made in the lateral part of the mandibular ramus to accommodate the extra osseous portion of the screw. After reduction and stabilization of the condylar segment, a 2.0 mm miniplate was installed over the screw leaving the screw head in an inferior position to maximize retention. The patient enjoyed a rapid postoperative recovery and early jaw function was restored in a short period of time.

Palavras-chave : Mandibular Condyle; Mandibular Fractures; Mandibular Injuries..