Reduce within 5-7 days by closed or open manipulation. Fixation by interosseous wiring, external pin, rigid fixation plate or sinus packing Isolated zygomatic arch fracture - Gilles or intraoral reduction. Condylar fracture in children - soft diet only. Important considerations Condyle is the growth center for the mandible. Therefore, injury here in childhood can cause significant deformity.
Interdental wiring is potentially hazardous in the non-alert patient.
Wire cutters should be kept at the bedside when the patient is recovering from anesthesia, and used to open jaws immediately in case of vomiting or airway problem. Never rely on nasotracheal intubation to reestablish an airway in the presence of intermaxillary fixation. Frequently associated with intracranial damage, CSF leak. All Rights Reserved. Baylor College of Medicine.