Surgery in patients with fractures of the mandible's condylar processes.

The new technique for access to the area of high fracture of the condylar process is proposed. Surgical treatment of 22 patients (19 males and 3 females, from 20 to 54 years old) with the fractures of articular processes, complicated with articular head dislocations was conducted. 17 patients suffered with one-side fractures of articular processes and 5 - with two-side fractures. The operations were conducted under nasotracheal narcosis. After re-positioning of small fragment, the head was fastened to the ramus by means of the wire sutures, integrity of capsule and lateral pterygoid muscle was restored. The masseter and medial pterygoid muscle were reset to their locations and fastened with the nodular sutures After surgery, immobilization was achieved by means of the splints. In the post-surgery period there were no complications of inflammatory character. In 3 cases occur slight paresis of facial nerve though, and in 2 cases - temporary restriction of opening of mouth. It is concluded that the applied techniques for access to the area of high fracture of the condylar process provides good view of the surgical area, and allows accurate restoration integrity of the joint, with minimal trauma. The technique is recommended in patients with high fractures of the mandible's condylar processes, accompanied with dislocation and significant displacement of the small fragment into the soft tissues.