Novel lag screw application in the orif of bilateral condylar fractures: a case report

Open reduction of condyles is rarely indicated in young adults as union of condylar fractures occur regardless of intermaxillary fixation. Closed reduction usually suffices unless indicated in the absolute indications given by Zyde and Kent (1983). Most condylar fractures when opened can be plated. Our experience shows a case wherein conventional 3D plating of the condylar fracture proved ineffective leading to the placement of a lag screw in order to reduce the fracture site which was entered using a transmasseteric approach which ultimately led to the formation of a sialocele and was treated using simple repeated aspirations.