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Cahyadi Siauw, Asri Arumsari, Endang Syamsudin, Fathurachman
Cahyadi Siauw, Asri Arumsari, Endang Syamsudin, Fathurachman
Cahyadi Siauw, Asri Arumsari, Endang Syamsudin, Fathurachman
1(Resident of Oral and Maxillofacial Surgery Department, RSUP Dr. Hasan Sadikin, Faculty of Dentistry,
3(Staff of Oral and Maxillofacial Surgery Department, Dentistry of Padjadjaran University, Bandung 40161,
Indonesia)
4(Staff of Orthopaedic Department, RSUP Dr. Hasan Sadikin, Bandung 40161, Indonesia)
Condyle fracture is a fracture that involves
temporomandibular joint, resulting temporomandibular
joint disorder. It often caused complications namely
ankylosis and temporomandibular joint disorder.
Trauma induced mandible fracture can leads to
unilateral or bilateral condyle fracture.
The following report describes a condylar fracture
management using closed reduction in the Emergency
Department.
19 years old male came with mouth bleeding
and pain on left lower jaw joint. Clinical
examination showed laceration on right chin
and left condyle fracture.
Figure 1: Profile Picture, situasional
suture, and intraoral condition
Figure 2. Trauma series x-ray
(Thorax x-ray, cervival x-ray,
pelvic x-ray)
Figure 3. USG FAST
Figure 4. MMF rubber
and bite riser was set in
Emergency and
resuturing at chin region
Figure 5. Panoramic
radiograph evaluation
post-emergency; left
condylar fracture was
revealed with
displacement
Figure 6. Follow up after 1 week and 2
weeks; bite riser was reduced
Figure 7: Follow up after 3 weeks and 4 weeks,
MMF wire was set and occlusion was normal
Figure 8.Classification of Condylar fracture According to
Lindahl
Figure 9. Left : mandible normal movement. Right : mandible abnormal movement
Figure 10.Left : mandible deviation to the fractured side. Right : muscle effect on
condylar fracture
Closed Method or Conservative
Open Method or surgery
Temporomandibular joint ankylosis
Growth Disturbance
Post- Osteoarthritis traumatic
Other temporomandibular joint disorder
Mandible condyle fracture needs an
immediate management based on exact
diagnosis, thus reducing or eliminating
complication risk
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