Condylectomy for Treatment of Neglected Bilateral Mandibular Condyle Fracture : A Case Report

Abstract

Fractures of the mandibular condyle have been estimated up to 27–50% of all mandibular

fractures. Although there is a growing trend towards internal fixation over closed reduction, the evidence is still limited. Treatment depends on the type and location of the fracture, associated facial injuries, and concomitant diseases. Oral surgeon is faced with decision of conservative treatment, such as removal of the fragments by condylectomy. The principle of condylectomy is the surgically removing the fractured of condyle as it was obstructing mandibular function Purpose: Interdisciplinary care is needed to complement surgical treatment so that the patient's condition can return to normal both in terms of function and esthetics. The following case report aims to explain the management plan for bilateral mandibular condyle fractures. Case(s): A 17 years old male patient with complaints his mouth couldn’t close tightly and limited mouth opening. He fell from a motorcycle about a month before. There was anterior openbite, radiographic examination showed discontinuity in bilateral mandibular head condyle. He has been diagnosed with Neglected fracture at the bilateral condyle region, treated with bilateral condylectomy with the result posterior intact occlusion and wider mouth opening Case Management: The patient performed bilateral condylectomy under general anesthesia. Conclusion: The management of bilateral mandibular condyle fractures with condylectomy in this case was chosen because the condyle fracture leads medially which causes a limited mouth opening, and this treatment resulted in an intact occlusion and mouth opening becomes wider.

Keywords: Bilateral condyle fracture, Neglected fracture, Condylectomy