Fixação extracorpórea em fraturas condilares: uma revisão das evidências

Abstract

The treatment of condylar fractures remains a controversial issue in Maxillofacial surgery. Among these techniques, extracorporeal fixation of the condyle allows reduction and fixation of the condyle to be performed more easily. Developed and performed since 1975, the condyle removal technique with extracorporeal osteosynthesis consists of removing the ramus and fractured condylar fragment through an oblique osteotomy, followed by reduction, fixation and reimplantation. 29 studies were included in the review, with publication dates between 1980 and 2023, all of which were observational. Extracorporeal fixation of the condyle seems to be a good option to achieve perfect alignment in fractures where access to the condyle is restricted, however these results should be interpreted with caution, taking into account the methodological design and quality of evidence from the studies.