RELIABILITY OF COMPUTER-ASSISTED OPEN REDUCTION INTERNAL FIXATION OF MANDIBULAR CONDYLAR FRACTURES

Rofaida Atef Abbas, Ragia Mohamed Mounir And Adel Hamdy Abou Elfetouh,

ABSTRACT


Aim: To Evaluate The Accuracy Of Computer Virtual Reduction Of Mandibular Condylar Fractures Based On Patient Specific Computed Tomography Scan And It?s Impact On The Surgical Procedure. Patients And Methods: Six Patients With Displaced Sub-condylar Fracture Were Treated With Trans-oral ORIF Using Computer Assisted Virtual Planning And Simulation.

Results: The Postoperative Recovery And Healing Phase Was Uneventful In All Patients. The Mean Displacement Of The Condylar Segment Was Found To Be 3.5 Mm With Standard Deviation Of 0.2 Mm In The Axial Dimension. In The Coronal Dimension, The Mean Displacement Was Found To Be 0.7 Mm With Standard Deviation Of 0.08 Mm. In The Sagittal Dimension, The Mean Displacement Was Found To Be 2.8 Mm With Standard Deviation 0.4 Mm. Conclusion: The Surgical Treatment Of Sub-condylar Fractures Of The Mandible With The Trans-oral Approach Using Computer Assisted Virtual Planning And Simulation Offers Reliable Clinical Results And Accurate Anatomical Reduction.

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