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Volume 39, Issue 6, Pages 548-553 (June 2010)


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Use of a temporary screw for alignment and fixation of sagittal mandibular condylar fractures with lateral screws

F.W. Meng12, Y.P. Liu1Corresponding Author Informationemail address, K.J. Hu1Corresponding Author Informationemail address, L. Kong1

Accepted 20 January 2010. published online 08 March 2010.

Abstract 

This study introduced and evaluated the clinical application of a temporary and lateral screw technique for open reduction and internal rigid fixation of sagittal mandibular condylar fractures. A preauricular approach was used to expose the fracture. A temporary screw was used to assist in the anatomical reduction, and a lateral lag screw in combination with a lateral position screw was used for internal rigid fixation. Six adult patients with sagittal condylar fractures and more than 5mm condylar height shortening were treated. The treatment outcomes were followed up clinically and radiographically for 8–27 months (mean 18 months) postoperatively. There were no complications associated with the operation. All patients recovered favorably with good occlusion, normal movement of the mandible, correct repositioning and rigid fixation of the fragment of the fracture and a good condyle shape on radiographs. The temporary and lateral screw technique is a simple, effective, fast, and minimally invasive surgical treatment for adult sagittal condylar fractures.

1 Department of Oral and Maxillofacial Surgery, School of Stomatology, The Fourth Military Medical University, Xi’an 710032, China

2 Department of Stomatology, The 359th Hospital of People's Liberation Army, Zhenjiang 212001, China

Corresponding Author InformationAddress: Y. Liu and K. Hu, Department of Oral and Maxillofacial Surgery, School of Stomatology, The Fourth Military Medical University, Xi’an 710032, China.

PII: S0901-5027(10)00022-6

doi:10.1016/j.ijom.2010.01.018


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