Evaluation of the preauricular transmassetric anterior parotid approach in the open reduction and internal fixation of condylar fractures

Abstract

Numerous approaches have been described to access the fractured condyle. Unrestricted wide optical window to the fracture site and the safety of the facial nerve dictate the type of approach required. Aims: To evaluate the pre auricular transmassetric anterior parotid approach in 20 unilateral condylar fractures. Results: All the twenty cases evaluated showed adequate mouth opening, no signs of facial nerve palsy and sialocele. The transmassetric anterior parotid approach is a safe approach which can be used in the surgical management of condylar fractures and is of special value in obtaining excellent exposure in the cases of medially displaced condylar neck fractures.

comparative study between preauricular retromandibular anteroparotid approach and retromandibular transparotid approach in open reduction and internal fixation of subcondylar fracture on facial nerve injury and parotid fistula

“…(Hinds and Girotti 1967) (28) were the first to introduce the retromandibular transparotid method, The area of dissection in the transparotid approach is the window between the branches of the facial nerve; buccal and marginal. Parallel to the branches of the facial nerve, blunt dissection was performed.…”