Treatment And Prognosis Of Postoperative Infection In Adolescents’ Condylar Fracture

Condylar fractures affect mandibular movement, occlusion, and facial aesthetics. ORIF is a key treatment, but postoperative infections can negatively impact prognosis. By analyzing two adolescent cases of post-ORIF infections, this study compares their prognoses, explores infection management strategies, and evaluates the effects of condylar excision on facial aesthetics and occlusal function. Case 1: A 14-year-old male underwent ORIF for a left condylar neck fracture via a preauricular approach at an external hospital. Postoperatively, he developed an infection caused by Acinetobacter, which persisted despite anti-inflammatory treatment and removal of internal fixation. He also exhibited facial nerve injury. After conservative treatment failed, surgical debridement and condylectomy were performed. Postoperatively, the incision healed, facial nerve injury improved, and no significant changes in occlusion or facial aesthetics were observed during follow-up. Case 2: Another 14-year-old male with a left condylar neck fracture underwent ORIF via a preauricular approach. He developed a postoperative infection and facial nerve injury. Conservative anti-inflammatory treatment was ineffective, leading to surgical debridement and condylectomy. During follow-up, facial nerve injury improved, but significant malocclusion and facial deformity were noted. Timely detection of postoperative infections after ORIF for condylar fractures in adolescents is crucial for condyle preservation. Early intervention and proper surgical technique are key to managing infections effectively and ensuring optimal outcomes. Treatment for condylar fractures in adolescents should consider long-term effects on facial aesthetics and occlusion, with timely complication management to ensure optimal outcomes.