title: Closed reduction of mandibular condyle fractures using C-arm fluoroscopy: a technical note.
abstract: We describe a C-arm technique for mandibular condylar fractures in an anatomic study using a model skull and show its feasibility in a clinical case. The C-arm allowed posterior-anterior visualization of the condylar process. The X-ray axis was canted ∼15 degrees cranially to the Frankfort horizontal line. The skull's sagittal plane was rotated ∼15 degrees ipsilaterally to the X-ray axis. This technique facilitates clear visualization of the condylar neck with easy, flexible, and timely adjustments. In selected cases, this method would convert the clinical settings of the condylar fracture pattern to that which would not be amenable to an open approach, making possible minimally invasive surgical procedures.
authors.affiliation: Department of Oral and Maxillofacial Surgery, Saiseikai Senri Hospital, Suita, Osaka, Japan. hsc12@hotmail.com
authors.forename: Tomoaki
authors.initials: T
authors.lastname: Imai
authors.forename: Masahiro
authors.initials: M
authors.lastname: Michizawa
authors.forename: Naofumi
authors.initials: N
authors.lastname: Yamamoto
authors.forename: Tatsuro
authors.initials: T
authors.lastname: Kai
mesh_terms: D000063:Accidents, Traffic; D001860:Bone Plates; D002102:Cadaver; D005471:Fluoroscopy / Q000295:instrumentation*; D005593:Fracture Fixation, Internal / Q000379:methods*; D006801:Humans; D021621:Imaging, Three-Dimensional; D008297:Male; D008335:Mandibular Condyle / Q000000981:diagnostic imaging* / Q000601:surgery*; D008337:Mandibular Fractures / Q000000981:diagnostic imaging* / Q000601:surgery*; D055815:Young Adult