Management of Right Parasymphysis and Condylus Mandible Fracture with Combination Open and Closed Reduction: A Case Report

Fajar Rezandaru, Endang Syamsudin, Winarno Priyanto, Fathurachman

Abstract: Mandible fractures are extremly frequent in maxilofacial trauma, accounts for 19-52 % involve the condyle and if not treated incorrectly can lead to significant functional and aesthetic sequale including facial asymetry, malocclusion, temporomandibular joint dysfunction and osteomylitis. This case report presented a treatment of parasymphysis mandible fracture with open reduction and unilateral condyle fracture with closed reduction. A 35-year old female patient came to our department with fracture of lower jaw and bleeding at fracture site due to motorcycle collision. Radiography showed fracture lines at right parasymphysis and right condyle. Open reduction treatment was performed for parasymphysis fracture and closed reduction followed with embankment bites to treat the condyle fracture. The purpose of this treatment combination was to minimize pain, prevent infection, restore occlusion, restoring of curved jaw bone, stabilizing the fracture for healing process, maintain general condition, and to restore the masticatory function. In condylar fracture, whilst rigid internal fixation provides stabilization and allows early mobilization could optimize healing proccess. Management of mandibular parasymphysis fractures and unilateral condylar fractures using a combination of open and closed reduction can significantly improve occlusion and mouth opening. Good treatment results can be achieved by considering fracture conditions to determine the appropriate treatment method for the patient

Keywords: Condyle fracture, Closed reduction, Open reduction, Parasymphysis fracture