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Mandibular condylar fractures: classification and treatment

Condylar fractures are considered one of the most controversial fractures in face regarding treatment and diagnostic difficulty. Choosing the best treatment, such as surgery, inter maxillary fixation, physiotherapy or their association is directly related to fractures type, patient age and functional impairment degree. Clinical findings are relevant for proper diagnostic but image is fundamental for a precise treatment indication. We present a novel classification based on the condyle deviation and also propose a treatment for each type of fracture regarding age and clinical symptoms. We illustrate this paper with a description of two cases, one submitted to surgical and other to clinical treatment.

mandibular condyle; condylar fractures; mandibular fractures


ABORL-CCF Associação Brasileira de Otorrinolaringologia e Cirurgia Cérvico-Facial Av. Indianápolis, 740, 04062-001 São Paulo SP - Brazil, Tel./Fax: (55 11) 5052-9515 - São Paulo - SP - Brazil
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