Annals of Maxillofacial Surgery

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


Elavenil Panneerselvam, Saravanan Chellappazham, Sasikala Balasubramanian, VB Krishnakumar Raja 
 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

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.


How to cite this article:
Panneerselvam E, Chellappazham S, Balasubramanian S, Krishnakumar Raja V B. Zygomatic arch osteotomy for open reduction and internal fixation of medially displaced/dislocated condylar head in high condylar fractures.Ann Maxillofac Surg 2018;8:311-314


How to cite this URL:
Panneerselvam E, Chellappazham S, Balasubramanian S, Krishnakumar Raja V B. Zygomatic arch osteotomy for open reduction and internal fixation of medially displaced/dislocated condylar head in high condylar fractures. Ann Maxillofac Surg [serial online] 2018 [cited 2021 Sep 16 ];8:311-314
Available from: https://www.amsjournal.com/article.asp?issn=2231-0746;year=2018;volume=8;issue=2;spage=311;epage=314;aulast=Panneerselvam;type=0