Surgical Management Of Mandibular Subcondylar Fractures Under Local Anaesthesia - A Proposed Protocol

The optimal treatment for adult mandibular condylar fractures (MCFs) has largely shifted in favour of open reduction and rigid internal fixation (ORIF). However a sizeable portion of these injuries are still being treated closed based on old literature, convenience, "acceptable" results, and lesser associated morbidity.Most MCFs with multiple associated facial trauma are appropriately treated under general anaesthesia(GA). However, some selected isolated MCFs or ones with minimal associated mandibular or low mid-facial fractures can be treated optimally under local anaesthesia(LA) following a protocol presented here, thus expediting and simplifying their management.

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