Open Reduction and Internal Fixation of Unilateral Mandibular Condylar Base and Neck Fractures Using a Lambda Plate: Selection Criteria for Application

Journal of Oral and Maxillofacial Surgery : Official Journal of the American Association of Oral and Maxillofacial Surgeons
Wenko SmolkaCarl-Peter Cornelius

Abstract

The aim of this study was to evaluate the clinical, radiologic, and functional outcomes in a retrospective cohort study of patients with condylar base and neck fractures treated with open reduction and internal fixation via lambda plates to define selection criteria for their application. Eleven patients underwent open reduction and internal fixation using lambda plates for osteosynthesis of condylar base and neck fractures. The mean follow-up period was 8 months. All kinds of complications were recorded. Postoperative maximum jaw opening and occlusion were determined. Pain on palpation of the joint area, pain on movement, and muscle pain were examined. The criteria for the intraoperative selection of a lambda plate were recorded. Positioning and fixation of lambda plates were feasible in all cases. A condylar neck fracture with limited bone surface on the proximal fragment for internal fixation prevailed as the primary indication for the selection of a lambda plate. Avoiding extensive soft tissue stripping at the proximal fragment when using a transoral endoscopically assisted approach in cases of condylar base fractures also was a selection criterion. The overall complication rate was low. The indications for lambda plates fo...Continue Reading

Citations

Sep 16, 2020·Journal of Clinical Medicine·Maciej SikoraDariusz Chlubek
Nov 6, 2020·Journal of Oral and Maxillofacial Surgery : Official Journal of the American Association of Oral and Maxillofacial Surgeons·Paris LiokatisWenko Smolka
Jun 30, 2021·Journal of Stomatology, Oral and Maxillofacial Surgery·Paris LiokatisWenko Smolka

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