Surgical Management of Open Reduction Internal Fixation (ORIF) in the Treatment of Mandibular Condyle Fractures: Serial Case Report

Abstract

Background: The mandibular condyle is part of the temporomandibular joint with regular movements of rotation and translation simultaneously on the right and left sides when opening or closing the mouth. Mandibular condyle fractures can cause long-term complications such as malocclusion, open bite, reduced posterior facial height, facial asymmetry and limited mouth opening. Management of mandibular condyle fractures is still debatable between closed reduction or open reduction depending on the case. In some cases, combination of closed reduction and open reduction was reported. Immediate and appropriate treatment can prevent complications. This serial case report describes the successful treatment of a condyle fracture with open reduction with internal fixation (ORIF). Case report: This case report discusses three cases of mandibular condyle fracture. Our three patients underwent surgical treatment procedures, which is open reduction and internal fixation (ORIF) with an extraoral approach. Postoperative follow-up showed the patient was in good condition, good occlusion and no significant complications. Conclusion: Mandibular condyle fracture is one of the facial bone fractures that often occurs and is difficult to treat. Immediate treatment with appropriate open reduction internal fixation in both cases resulted in good anatomical shape and function of the temporomandibular joint.

Keywords: Mandibular Condyle Fracture, Mandibular Fracture, Open Reduction Internal Fixation, ORIF