Oral and Maxillofacial Surgery

, Volume 23, Issue 4, pp 499–500 | Cite as

Use of a Heister mouth gag as an aid to reduction in open treatment of condylar fracture

  • Deepak Thakur
  • Rajesh Sabnis
  • Sruthi RaoEmail author
  • Chetna Yadav
  • Tapas Mukherjee
  • Shashikant Ravupalli
Case Report



The management of condylar fractures remains controversial. Open treatment of condylar fractures is a routine treatment in cases of displaced or dislocated condylar and subcondylar fractures.

Technical note

Because of the pull of the lateral pterygoid muscle, the condylar fragment is usually located anterior and medial to the mandible. Distraction of the mandible in an inferior direction simplifies proper reduction. Various distraction devices have been described in literature. We describe a technique of using the Heister mouth gag at the surgical site to aid in reduction of displaced dislocated condylar fractures.


Condylar fracture Heister mouth gag Maxillofacial trauma 


Compliance with ethical standards

Conflict of interest

The authors declare that they have no conflict of interest.

Ethical approval

All procedures performed in studies involving human participant were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

Informed consent

Informed consent was obtained from the participant included in the study.


  1. 1.
    Oral and maxillofacial trauma, 3/e, volume 1 Fonseca Elsevier (USA) 2005Google Scholar
  2. 2.
    Al-Kayat A, Bramley P (1979) A modified pre-auricular approach to the temporomandibular joint and malar arch. Br J Oral Surg 17(2):91–103CrossRefGoogle Scholar
  3. 3.
    Dengra S, Tiwari V, Sharma N (2016 Mar) Modification of Heister jaw opener. J Maxillofac Oral Surg. 15(1):131–132CrossRefGoogle Scholar
  4. 4.
    Stewart A, Bowerman JE (1991 Oct) A technique for control of the condylar head during open reduction of the fractured mandibular condyle. Br J Oral Maxillofac Surg 29(5):312–315CrossRefGoogle Scholar
  5. 5.
    Rao S, Rao S, Lalwani P (2018 Mar) Screw and wire technique for condylar fracture reduction. J Maxillofac Oral Surg 17(1):110–111CrossRefGoogle Scholar

Copyright information

© Springer-Verlag GmbH Germany, part of Springer Nature 2019

Authors and Affiliations

  1. 1.Department of Oral and Maxillofacial SurgeryRungta College of Dental Sciences and ResearchBhilaiIndia

Personalised recommendations