Subcondylar Fractures

Understanding Subcondylar Mandible (Jaw) Fractures

A subcondylar fracture is a break in the upper part of the jawbone, near the ear. These are often caused by high-impact injuries, such as road traffic accidents. Because this joint allows your jaw to move, proper treatment is essential to avoid long-term disability.

When is Surgery Necessary?

While treatment varies depending on the surgeon and the specific injury, surgery (Open Reduction and Internal Fixation) is generally recommended if:

• The teeth do not line up properly (malocclusion).
• The jaw is significantly displaced.
• The patient cannot tolerate having their jaw wired shut for long periods.

The Goal: To restore your natural bite, ensure full mouth opening, and return the jaw to its proper function.

Surgical Approaches

There are several ways to access the fracture. Your surgeon will choose the best path based on the location of the break:

• Trans-parotid or Retromandibular: Through the side of the face or behind the jaw.
• Pre-auricular or Hemi-coronal: Near the ear or along the hairline.
• Endoscopic: Using a small camera and tiny incisions for a less invasive approach.

What to Expect: Recovery & Implants

• Timing: Surgery is most effective when performed as soon as possible after the injury, once the patient is medically stable.
• Materials: We use titanium implants, which are biologically safe and non-magnetic. You can safely have an MRI in the future. These can be removed later if desired, though it is often not necessary.
• Jaw Support: In some cases, the jaw may be supported with temporary wiring (IMF) for 1–2 weeks to ensure the bite stays aligned during healing.

Choosing the Right Specialist

Fixing a subcondylar fracture is a highly specialized task. Because the facial nerve (which controls your expressions) runs through this area, surgical expertise is vital to minimize risks like facial palsy, scarring, or improper healing.

Why choose a Plastic Surgeon?

In India, Plastic Surgeons are extensively trained in Maxillofacial (face and jaw) surgery. They are uniquely qualified to handle complex facial trauma because they can repair both the bony fractures and the soft tissue or skin injuries at the same time, leading to a more natural aesthetic result.

Premier Training: Institutes like Vardhman Mahavir Medical College and Safdarjung Hospital are leading centers in India for training Plastic Surgeons in these advanced maxillofacial techniques.

What to Expect During Your Recovery

Recovery from a jaw fracture is a gradual process. While every patient is unique, here is a general timeline of what you can expect:

• The First 48 Hours: Swelling and bruising around the jaw and ear are normal. You will likely be on a strictly liquid diet to avoid putting pressure on the repair.
• Weeks 1–2: If your jaw was supported with temporary wiring (IMF), it may be removed during this time. You will transition from liquids to very soft foods (like yogurt, mashed potatoes, or dal).
• Pain Management: Any discomfort is usually well-managed with prescribed medications. It is important to complete any course of antibiotics provided by your surgeon.
• Wound Care: If your surgery involved an incision near the ear or hairline, your surgeon will provide specific instructions on how to keep the area clean to ensure the finest possible scar.
• Physical Therapy: After a few weeks, you may be given gentle "jaw exercises." These are crucial to regaining your full mouth opening and preventing stiffness in the joint.