Innovative Mandibular Retraction Technique for Effective Condylar Fracture Reduction: A Technical Note

Aims: Open reduction and internal fixation of sub condylar fractures can be challenging, and setbacks may lead to surgeons steering clear of it. Condylar surgery requires adequate access and visualization for proper reduction and fixation. Conventionally, the assistant have to press down on the bilateral occlusal surfaces of the mandibular teeth in order to increase the vertical ramus height, resulting in fatigue as well as exposing them to sharp injury. Materials and Methods: We illustrate our extra-oral method for increasing the vertical height of ramus using a wire twister, 0.5 mm stainless steel wire, a maxillomandibular fixation screw, and a 16G cannula. Results: We were able to increase the ramus height using this technique, resulting in easier manipulation and reduction of the condylar head.