[Retromandibular incision and miniplate rigid fixation for condylar and subcondylar fractures].
OBJECTIVE
To report the method and effects of anatomical reduction by retro-mandibular incision and miniplate rigid fixation for condylar and subcondylar fractures.


METHODS
Twenty-four condylar neck and subcondylar fractures including 18 unilateral and 6 bilateral in 24 consecutive patients were studied. The fractures were approached by retromandibular incision and miniplate rigid fixation. Postoperative follow up was 3 to 6 months. The treatment results were evaluated including occlusion,joint functions as well as radiographic assessment of condylar changes.


RESULTS
The average mouth opening deviation was 6.2mm before operation, which reduced to 1.4mm 3 months after surgical treatment,3 patients had malocclusion,2 had facial nerve damages.


CONCLUSIONS
Miniplate rigid fixation by retromandibular incision based on anatomical reduction is an effective procedure in treating severely displaced and dislocated neck of condyle and subcondylar fractures.
Department of Dentistry, Minghang Hospital, Shanghai 201100, China. wyesq@citiz.net
Chun-yun
CY
Wu
Xiao-jun
XJ
Shi
Ying
Y
Li
D000328:Adult; D000368:Aged; D001860:Bone Plates; D005260:Female; D005593:Fracture Fixation, Internal / Q000379:methods*; D006801:Humans; D008297:Male; D008335:Mandibular Condyle / Q000293:injuries*; D008337:Mandibular Fractures / Q000601:surgery*; D008875:Middle Aged; D011183:Postoperative Complications / Q000209:etiology