Salvage of the condylar fracture: complication management of mandibular angle ostectomy.
A prominent mandibular angle is considered to be unattractive in Asians because it gives the face a square, coarse, and muscular appearance. Mandibular angle ostectomy has been known to be effective and to satisfy both surgeons and patients. However, a narrow surgical field hinders direct view of the site, making a procedure that is rather difficult to perform. Despite thorough presurgical planning and attention, there can be many complications and unfavorable results. A 21-year-old woman with right condyle process fracture was referred to Kyung Hee University Hospital at Gangdong. The patient was previously treated with mandibular angle reduction surgery at a local clinic. Via an extraoral approach, the condyle process was replaced and fixed using 1 long metal screw and one 2 × 2 square metal plate. We overcame the condylar fracture caused by mandibular angle ostectomy with reasonable reduction of the right condyle.
From the Department of Oral and Maxillofacial Surgery, Kyung Hee University Dental Hospital at Gangdong, Kyung Hee University, Seoul, Republic of Korea.
Sung Ok
SO
Hong
Joo-Young
JY
Ohe
Deok-Won
DW
Lee
D001860:Bone Plates; D001863:Bone Screws; D003357:Cosmetic Techniques / Q000009:adverse effects; D005260:Female; D005593:Fracture Fixation, Internal / Q000295:instrumentation; D006801:Humans; D007431:Intraoperative Complications; D008334:Mandible / Q000601:surgery*; D008335:Mandibular Condyle / Q000293:injuries*; D008337:Mandibular Fractures / Q000601:surgery*; D010027:Osteotomy / Q000009:adverse effects*; D013530:Surgical Wound Infection / Q000209:etiology; D055815:Young Adult