Extraoral approach to mandibular condylar fractures: Our experience with 100 cases

Facial nerve injuries associated with the retromandibular transparotid approach for reduction and fixation of mandibular condyle fractures

“…The mini retromandibular approach was utilized in 100 cases of condylar fracture reduction and fixation by Colletti et al (2014) who reported a 4% incidence of facial nerve injury. This approach may be limited in its access to the condyle in medially displaced condylar fractures and therefore necessitates greater retraction of soft tissue and a resultant increase in transient facial nerve injuries.…”

Surgical treatment of mandibular condyle fractures using the retromandibular anterior transparotid approach and a triangular-positioned double miniplate osteosynthesis technique: A clinical and radiological evaluation of 124 fractures

“…Different intraoral and extraoral approaches to the condylar area are used to perform open reduction of condyle fractures including submandibular, perimandibular, preauricular, and retromandibular approaches (Tang and Gao, 2009;Handschel et al, 2012). Several studies regarding the advantages and the complications of the retromandibular approach can be found in literature (Devlin et al, 2002;Biglioli et al, 2009;Narayanan et al, 2009;Girotto et al, 2012;Kim et al, 2012;Bhutia et al, 2014;Colletti et al, 2014). Despite the elevated number of investigations, publications with consistent case numbers of more than 50 patients are rare (Bouchard et al, 2014;Colletti and Battista, 2014).…”

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

“…Biglioli and Colletti reported a 2-cm mini-retromandibular transmasseteric approach for condylar fracture (Biglioli and Colletti, 2008;Colletti et al, 2014). The 2-cm incision is far shorter than for other approaches, such as preauricular incisions (58 mm; SD 8 mm), submandibular incisions (55 mm; SD 12 mm) and retromandibular incisions (30 mm; SD 8 mm) (Handschel et al, 2012).…”

“…The 2-cm incision is far shorter than for other approaches, such as preauricular incisions (58 mm; SD 8 mm), submandibular incisions (55 mm; SD 12 mm) and retromandibular incisions (30 mm; SD 8 mm) (Handschel et al, 2012). They considered all fractures, from high condylar neck to condylar base fractures, that can be managed by the mini-retromandibular approach without facial nerve injury (Colletti et al, 2014). Their modification uses subcutaneous dissection anteriorly and superiorly which is superficial to the superficial musculoaponeurotic system.…”

“…It involves about 25-30% of all mandibular fractures (Colletti et al, 2014;Ellis et al, 1985;Eulert et al, 2007). Although the surgical management of condylar head fracture remains controversial, anatomic reduction with rigid fixation is usually required for condylar neck and subcondylar fracture, especially in situations such as angulation or displacement which result in vertical ramus shortening or malocclusion.…”