Open AccessDifficulties encountered in preauricular approach over retromandibular approach in condylar fracture
Author(s) -
Perumal Jayavelu,
Rameez Riaz,
AR Tariq Salam,
B. Saravanan,
Karthick Rajendran
Publication year - 2016
Publication title -
journal of pharmacy and bioallied sciences
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.268
H-Index - 36
eISSN - 0976-4879
pISSN - 0975-7406
DOI - 10.4103/0975-7406.191953
Subject(s) - condyle , medicine , temporomandibular joint , mandible (arthropod mouthpart) , deformity , displacement (psychology) , fracture (geology) , dentistry , orthodontics , angle of the mandible , surgery , molar , psychology , botany , geotechnical engineering , engineering , psychotherapist , biology , genus
Fracture of mandible can be classified according to its anatomical location, in which condylar fracture is the most common one overall and is missed on clinical examination. Due to the unique geometry of the mandible and temporomandibular joint, without treatment the fractures can result in marked pain, dysfunction, and deformity. The condylar fracture may be further classified depending on the sides involved: unilateral/bilateral, depending on the height of fracture: intracapsular (within the head of condyle), extracapsular - head and neck (high condyle fracture), and subcondylar (low condyle fracture), and depending on displacement: nondisplaced, displaced (anteromedially, medially, and lateral), and dislocated. The clinical features include swelling and tenderness over the temporomandibular joint region, restricted mouth opening, and anterior open bite. A 34-year-old male patient reported to the Department of Oral and Maxillofacial Surgery at Madha Dental College and Hospital; suffered fall trauma resulting in bilateral condyle fracture, dentoalveolar fracture in mandible with restricted mouth opening, and anterior open bite.