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Use of Two Lag Screws for ORIF of Mandibular Condylar Sagittal Split fracture: An Anti-rotational Concept—A Prospective Clinical Trial
Author(s) -
Manish J. Raghani,
Biju Pappachan,
Nisha Raghani
Publication year - 2019
Publication title -
journal of maxillofacial and oral surgery/journal of maxillofacial and oral surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.293
H-Index - 21
eISSN - 0974-942X
pISSN - 0972-8279
DOI - 10.1007/s12663-018-1177-1
Subject(s) - condyle , medicine , sagittal plane , coronal plane , reduction (mathematics) , occlusion , temporomandibular joint , radiography , ankylosis , internal fixation , dentistry , mandible (arthropod mouthpart) , orthodontics , surgery , radiology , botany , geometry , mathematics , biology , genus
Condylar process fracture is one of the most common mandibular fractures. Approximately 11-16% of all facial fractures and 30-40% of all mandibular fractures are fractures of the mandibular condyle. Treatment can broadly be divided into open or closed, but there are no clear criteria to determine the choice between them. Sagittal split fracture of the mandibular condyle is rare and can be easily missed on conventional radiographs, like OPG and multiple standard films, but because of the high incidence of subsequent ankylosis is an important entity. So a CT scan with axial and coronal cuts is advisable in high condylar or intracapsular fractures of mandibular condyle.

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