Shukla Deepak, C Senthil Kumar
Department of Oral and Maxillofacial Surgery, Command Military Dental Centre, Lucknow, UP 226002 India.
Oral and Maxillofacial Surgery, 16 Corps Dental Unit, Jammu, India.
J Maxillofac Oral Surg. 2025 Apr;24(2):401-405. doi: 10.1007/s12663-024-02206-4. Epub 2024 May 30.
Management of high condylar fractures involves never-ending controversies between open and closed management. Conservative treatment is the preferred treatment in high condylar head fractures. This article aims to report two clinical cases of high condylar fractures, where medial pole was fixed with open treatment, using lag screw fixation using a modified preauricular approach according to AO/ASSIF protocols and recommendations. We advocate open surgical treatment for the management of high condyle fractures, it provides an immediate physiological function to the TMJ joint and restores form.
髁突高位骨折的治疗在切开复位与闭合复位之间存在着无休止的争议。保守治疗是髁突头部高位骨折的首选治疗方法。本文旨在报告两例髁突高位骨折的临床病例,其中采用改良耳前入路,根据AO/ASSIF协议和建议,使用拉力螺钉固定对内侧髁进行切开复位内固定。我们主张采用切开手术治疗髁突高位骨折,它能使颞下颌关节立即恢复生理功能并恢复外形。