Surgical management of double/triple mandibular fractures involving the condylar segment: Our perspective

Sunil S. Nayak, Abhay Taranath Kamath

Research output: Contribution to journalReview article


A series of surgical cases operated in our unit are considered to analyze and evaluate the different techniques and sequencing employed in the surgical management of double/triple mandibular fractures involving a condylar fracture. Deviating from the normal sequence of reducing and fixing the dentate segment first, we addressed the condylar segment first. A combination of different approaches for different cases such as a periangular with a vestibular, a preauricular and a retromandibular with a vestibular were used according to the type of fractures. The accessibility to one difficult case with a medially displaced condyle was facilitated by using Hegar's uterine dilators. In all cases, good anatomical reduction was achieved with stable occlusion and without any signs of facial nerve impairment. The 'Condyle first' approach in the surgical management of double/triple mandibular fractures, is a reliable and efficient technique.

Original languageEnglish
Pages (from-to)87-91
Number of pages5
JournalJournal of International Society of Preventive and Community Dentistry
Issue number1
Publication statusPublished - 01-01-2018


All Science Journal Classification (ASJC) codes

  • Dentistry(all)

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