Evaluation of the transparotid retromandibular approach for the treatment of mandibular condyle fractures: analysis of clinical cases

Introduction: The retromandibular transparotid approach is most useful for condylar and subcondylar fractures and provides the best access to the joint and ascending ramus. The study aims at evaluating the ease of access and outcomes encountered on using the retromandibular transparotid approach to access the fracture site for the open reduction and internal fixation (ORIF) of condylar and sub-condylar fractures. Materials and Methods: An observational clinical study was carried out among 10 patients with unilateral and bilateral condylar fracture requiring ORIF. Maximal interincisal mouth opening, facial swelling, occlusal discrepancy, facial nerve injury, scar formation, and acceptability and complications including wound dehiscence, infection, and sialocele/salivary fistula were assessed and measured preoperatively and postoperatively. Results: There was a notable improvement in mouth opening and facial nerve weakness. Postoperative intermaxillary fixation was done with selective patients who had a discrepancy in their occlusion. Preoperatively, swelling was present in four patients (40%) out of 10 patients studied. There was no incidence of sialocele/salivary fistula in any of the cases studied. Conclusion: Retromandibular transparotid incision is technique sensitive and thorough knowledge about the retromandibular area is must for good results and minimal morbidity. The cosmetic results are good in this approach, as well as the facial nerve injury were less in this without any permanent damages.

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“…[ 1 17 ] Ellis and Dean have become a preferred approach these days for most of oral and maxillofacial surgeons. [ 18 ]…”

Section: Introductionmentioning

confidence: 99%

The retromandibular transparotid approach for reduction and internal fixation of mandibular condylar fractures

Felix

Singh

2020

Ann Maxillofac Surg

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Evaluation of the transparotid retromandibular approach for the treatment of mandibular condyle fractures: analysis of clinical cases

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The retromandibular transparotid approach for reduction and internal fixation of mandibular condylar fractures

The retromandibular transparotid approach for reduction and internal fixation of mandibular condylar fractures

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