case_images: PMC5853048_01
case_images: Orthopantomogram
case_images: JISPCD-8-87-g001.jpg
case_images: PMC5853048_01_JISPCD-8-87-g001.jpg
case_images: F1
case_images: Radiographic and computed tomography revealed a right-side subcondylar fracture with an associated left parasymphyseal fracture [Figure 1] and a right zygomaticomaxillay complex (ZMC) fracture.
case_images: Fixation of the subcondylar fracture by the periangular approach
case_images: JISPCD-8-87-g002.jpg
case_images: PMC5853048_01_JISPCD-8-87-g002.jpg
case_images: F2
case_images: After adequate preparation, we approached the condylar fracture through a periangular approach, and this was followed by an intraoral vestibular approach to reduce and fix the parasymphyseal fracture [Figures 2-4].
case_images: Fixation of the parasymphyseal fracture
case_images: JISPCD-8-87-g003.jpg
case_images: PMC5853048_01_JISPCD-8-87-g003.jpg
case_images: F3
case_images: After adequate preparation, we approached the condylar fracture through a periangular approach, and this was followed by an intraoral vestibular approach to reduce and fix the parasymphyseal fracture [Figures 2-4].
case_images: Postoperative orthopantomogram
case_images: JISPCD-8-87-g004.jpg
case_images: PMC5853048_01_JISPCD-8-87-g004.jpg
case_images: F4
case_images: After adequate preparation, we approached the condylar fracture through a periangular approach, and this was followed by an intraoral vestibular approach to reduce and fix the parasymphyseal fracture [Figures 2-4].
case_images: PMC5853048_02
case_images: Preauricular approach
case_images: JISPCD-8-87-g005.jpg
case_images: PMC5853048_02_JISPCD-8-87-g005.jpg
case_images: F5
case_images: A preauricular approach was advocated to retrieve the medially displaced fractured condyle [Figure 5].
case_images: Use of Hegar's uterine dilator
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case_images: PMC5853048_02_JISPCD-8-87-g006.jpg
case_images: F6
case_images: We used Hegar's uterine dilators in sequence to create an accessible working space for reduction and fixation, passing it through the retromandibular incision, and exiting through the preauricular incision [Figure 6].
case_images: Postoperative orthopantomogram (Case 2)
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case_images: F7
case_images: Postoperative radiograph was taken to assess the surgical outcome [Figure 7].
case_images: PMC5853048_03
case_images: Three-dimensional computed tomography scan showing bilateral condylar fractures
case_images: JISPCD-8-87-g008.jpg
case_images: PMC5853048_03_JISPCD-8-87-g008.jpg
case_images: F8
case_images: He was diagnosed with a panfacial fracture which included a LeFort 3, ZMC, naso-orbital-ethmoid, bilateral condylar, and symphysis fractures [Figures 8 and 9].
case_images: Three-dimensional computed tomography scan showing symphysis fracture
case_images: JISPCD-8-87-g009.jpg
case_images: PMC5853048_03_JISPCD-8-87-g009.jpg
case_images: F9
case_images: He was diagnosed with a panfacial fracture which included a LeFort 3, ZMC, naso-orbital-ethmoid, bilateral condylar, and symphysis fractures [Figures 8 and 9].
case_images: Postoperative orthopantomogram showing two-plate fixation of the fractured condyles
case_images: JISPCD-8-87-g010.jpg
case_images: PMC5853048_03_JISPCD-8-87-g010.jpg
case_images: F10
case_images: This was followed by a postoperative orthopantomogram for assessment [Figure 10].
case_images: PMC5853048_04
case_images: Retromandibular approach
case_images: JISPCD-8-87-g011.jpg
case_images: PMC5853048_04_JISPCD-8-87-g011.jpg
case_images: F11
case_images: We decided to restore the vertical ramus height first and addressed the left subcondylar fracture through a retromandibular approach [Figure 11].