Objective To explore the clinical effect and value of open reduction through minithoracotomy, intermaxillary traction and external fixation in treating condylar fracture. Methods Totally 18 cases of significant displacement of the condylar fractures were chosen by adopting the method of open reduction through preauricula, jaw or lowerjaw, and arch bar splint fixation between February 2005 and November 2010. All patients' condylar fractures underwent CT (Computerized Tomography) and CT reconstruction, to understand the situation and the effect of postoperative fracture reduction and fixation before and after surgery. Result Three to four weeks after surger-y, all patients' occlusion recovered well after the removal of inter-maxillary fixation, among whom 12 were cases were with normal mouth open, 6 cases with open-bite limitation. After three months, the subsequent consultation showed that only one case was with limitation of mouth opening, the rest all with normal occlusion. The imaging indicated that all patients fractures heal well. Conclusion Open reduction through minithoracotomy, intermaxillary traction and external for treating condylar fracture is a safe, effective, mini-invasive, perfectly -restored, method with few complication.
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