ePlasty: Vol. 19
The Management of a Pediatric Condylar Fracture With Dynamic Elastic Therapy
Robert P. Lesko, BA,a Brandon J. De Ruiter, BS,a George N. Kamel, MD,a and Edward H. Davidson, MDb

aDivision of Plastic Surgery, Montefiore Medical Center/Albert Einstein College of Medicine, New York, NY; and bDepartment of Plastic Surgery, Case Western Reserve University, Cleveland, Ohio

Correspondence: Edward.Davidson@uhhospitals.org
Keywords: mandibular fractures, condylar fractures, pediatric injuries, dynamic elastic therapy, guiding elastics


An 8-year-old male patient presented after suffering blunt trauma to the left side of the face during a football game. On initial evaluation, the patient denied malocclusion or chin deviation. Computed tomography (CT) identified a displaced intracapsular left-sided mandibular condylar fracture (Fig 1), and conservative treatment was attempted. After 1 week, the patient developed malocclusion and chin deviation (5 mm) (Fig 2) and subsequently was started on a 3-phase protocol utilizing elastic therapy. Phase I used 6-oz ¾-inch “fixating elastics” (class II ipsilateral to injury, class I contralaterally) (figure-of-eight configuration) (Fig 3). In phase II, 6-oz ¼-inch “guiding elastics” were placed (class II ipsilaterally, class I contrala .......