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TECHNICAL NOTE
Year : 2018  |  Volume : 8  |  Issue : 2  |  Page : 311-314

Zygomatic arch osteotomy for open reduction and internal fixation of medially displaced/dislocated condylar head in high condylar fractures


Department of Oral and Maxillofacial Surgery, SRM Dental College and Hospital, Chennai, Tamil Nadu, India

Correspondence Address:
Dr. Elavenil Panneerselvam
Department of Oral and Maxillofacial Surgery, SRM Dental College and Hospital, Ramapuram Campus, Ramapuram, Chennai - 600 089, Tamil Nadu
India
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DOI: 10.4103/ams.ams_182_18

PMID: 30693252

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Purpose: Open reduction and internal fixation of high condylar fractures is challenging. The difficulty gets compounded when the condylar head is medially displaced or dislocated. The surgical procedure is limited by inadequate visibility and restricted access to the fractured condyle for proper reduction and fixation. When conventional methods of reduction fail, “osteotomy-osteosynthesis” is performed to retrieve and fix the fractured condylar head. However, they are extensive surgeries and associated with morbidity. Methods: This article presents a novel technique “zygomatic osteotomy (ZO)” performed on a cadaver to facilitate retrieval of the displaced head and achieve ideal reduction and fixation. A comparison of the existing techniques with the proposed ZO has been done in detail. Conclusion: The “ZO” technique is easy to perform with less potential for complications.


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