Experience with the transparotid approach via a mini-preauricular incision for surgical management of condylar neck fractures

Liao, Han-Tsung; Wang, Po-Fang; Chen, Chien-Tzung

doi:10.1016/j.jcms.2015.07.023

Cited by 16 publications

(11 citation statements)

References 29 publications

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“…The indications for treatment of fractures that involve bone structures of TMJ by intraoral access are: medial inclination of the fragment greater than 15 degrees, shortening the greater ramus more than 5%, insufficient contact of the fragments, and fractures with little displacement with other fractures with indication of fixation under general anesthesia [14].…”

Section: Discussionmentioning

confidence: 99%

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High mandibular ramus fracture – endoscopy treatment: a case report in adult Fernanda

Tiboni¹,

Scariot²,

Gebert³

et al. 2017

RSBO

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Introduction: Fractures of the mandibular condylar region are very common, but treatment is controversial; the same fracture can be treatment by either conservative treatment or surgery. When surgery is chosen, the search for the best surgical access also has many doubts. The options for open surgical accesses are: pre-auricular, submandibular, and retromandibular. For intraoral access (similar to sagittal osteotomy of the ramus), the aid of endoscopy, an image equipment, enables the perpendicular visualization of the fracture. Case report: In this clinical case, the authors describe a high mandibular ramus fracture in which the intraoral approach was used associated with endoscopy for the reduction and fixation of the fracture. Conclusion: Success of the radiographic and clinical outcome could be observed by the anatomical reduction of the fracutre and the solution of the patient's requests.

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Section: Discussionmentioning

confidence: 99%

“…Despite the complex anatomy of the area, the technique helps to preserve the structures and reduce risks to the facial nerve [14].…”

Section: Discussionmentioning

confidence: 99%

High mandibular ramus fracture – endoscopy treatment: a case report in adult Fernanda

Tiboni¹,

Scariot²,

Gebert³

et al. 2017

RSBO

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“…25,26 To minimize the need for soft-tissue retraction inferiorly and, therefore, risk of traction injury to the facial nerve, some authors have proposed centering dissection over the fracture line itself, sometimes referred to as the preauricular transparotid approach. 7,27 This allows for more direct, perpendicular access that facilitates fracture reduction and fixation, but means traversing the parotid and navigating the complex anatomy of the facial nerve. Nonetheless, these authors have reported rates of facial nerve palsy that are nearly equivalent to standard approaches.…”

Section: The Preauricular Approachmentioning

confidence: 99%

“…Nonetheless, these authors have reported rates of facial nerve palsy that are nearly equivalent to standard approaches. 27…”

Section: The Preauricular Approachmentioning

confidence: 99%

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Contemporary Issues in the Open Management of Subcondylar Fractures of the Mandible

et al. 2016

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Subcondylar fractures encompass a large portion of mandible fractures. Owing to their proximity to the temporomandibular joint and difficulty achieving surgical exposure, treatment of these fractures has been challenging and highly debated throughout the literature. While no one modality is the accepted gold standard, there are multiple options for addressing these fractures that can yield satisfying results for both patient and surgeon alike. A thorough literature review was conducted using PubMed, analyzing articles in the past 15 years for relevance to the subject matter. Various search terms were used to glean information regarding closed treatment, open treatment, and the risks and benefits of the different surgical approaches involved. The articles were reviewed by all of the authors for applicability and quality of data provided. A total of 50 articles were selected for inclusion in the current study. The open management of subcondylar fractures encompasses a vast array of techniques. While some surgeons advocate closed treatment in some circumstances, open treatment affords numerous advantages with the advent of multiple access modalities. There is no single superior method, and as such, the craniofacial surgeon should have a comprehensive understanding of options so as to select the appropriate option that is individualized to the patient. A clear understanding of fracture biomechanics balanced with patient expectations and operative safety allows for the surgeon to make a sound decision for treatment.

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Use of Two Lag Screws for ORIF of Mandibular Condylar Sagittal Split fracture: An Anti-rotational Concept—A Prospective Clinical Trial

Raghani

Pappachan

Raghani³

2019

J. Maxillofac. Oral Surg.

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Experience with the transparotid approach via a mini-preauricular incision for surgical management of condylar neck fractures

Cited by 16 publications

References 29 publications

High mandibular ramus fracture – endoscopy treatment: a case report in adult Fernanda

High mandibular ramus fracture – endoscopy treatment: a case report in adult Fernanda

Contemporary Issues in the Open Management of Subcondylar Fractures of the Mandible

Use of Two Lag Screws for ORIF of Mandibular Condylar Sagittal Split fracture: An Anti-rotational Concept—A Prospective Clinical Trial

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