Use of Intraoperative C-Arm Fluoroscopy in Open Reduction and Internal Fixation of Mandibular Condyle Fracture - A Case Report

THE RATIONALE: Condyle fractures are a common type of mandibular fracture that can result in malocclusion. Open reduction and internal fixation (ORIF) in condylar fracture is considered as the most acceptable treatment modality. PATIENT CONCERNS: The patient complained of pain and difficulty in the jaw while chewing. DIAGNOSIS: An orthopantomogram and reverse Towne’s view can lead to diagnosis of the condylar fracture. TREATMENT: Open reduction and internal fixation using intraoperative real-time visualisation of subcondylar fracture reduction utilising the C-arm fluoroscopic approach were used to allow for adequate anatomical repositioning and fast restoration of function to meet the patient’s concerns. OUTCOMES: We were able to achieve correct reduction of the fracture fragments with restoration of function and occlusion. TAKE-AWAY LESSONS: When this procedure is used to treat condylar fractures, surgeons can get a better view of the fracture segments while eliminating the need for postoperative intermaxillary fixation and also reduces the complications from inappropriate reduction and fixation.