Variations in the retromandibular approach to the condyle-transparotid versus anteroparotid transmasseteric – a prospective clinical comparative study

Ramaraj, P.N.; Patil, Vinay; Singh, Rohit; George, Ajay; Vijayalakshmi, G.; Sharma, Mandeep

doi:10.1016/j.jormas.2019.06.008

Cited by 8 publications

(8 citation statements)

References 18 publications

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“…[5][6][7] A prospective clinical comparative study published by Ramaraj described the minor relation between the transmasseteric route and parotid gland fistulae if compared with the transparotid route. 8 Our proposed incision and approach, although small, preserves the gland capsule and the facial nerve branches are visualized and dissected only in the terminal parts, after the parotid gland. In our experience with this approach, no persistent paralysis was observed, as observed in other similar studies.…”

Section: Discussionmentioning

confidence: 99%

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The Preauricular Transmasseteric Approach: A Novel Option for the Exposure of Mandibular Condyle Fracture

Silveira

Costa

Amaral

2021

Craniomaxillofacial Trauma & Reconstruction Open

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Background: Mandibular Condyle fractures are common and the traditional method for the exposure is the retromandibular approach, however it presents some limitations and considerations among facial nerve palsy and parotid gland fistulae. This technical note present a novel approach to the subcondylar fractures, using preauricular incision with an innovative transmasseteric dissection. Study Design: Technical note. Objective: Present a novel approach to the subcondylar fractures, using preauricular incision with an innovative transmasseteric dissection. Methods: Patients diagnosed for mandibular condyle fractures in a Level 1 Trauma Center in Brazil. All the procedures were performed in the shortest possible time since the trauma. Traditional preauricular incision with gentle lower dissection through the superficial musculoaponeurotic system, the facial nerve branches are exposed and retracted. The parotid gland capsule plane is outlined and the parotid gland is retracted posteriorly. The masseteric fascia is exposed and the masseteric muscle is incised and the blunt dissection continues toward the periosteum and the mandibular condyle. Results: Eight patients were surgically managed in the acute trauma with a mean of 2.57 days to the operation. Transient parotid gland fistulae was observed in only 12.5% of the patients. Facial nerve palsy was observed in 37.5% of the patients in the first 7 days of postoperative time, with no records of persistent facial nerve paralysis. Conclusions: The preauricular transmasseteric approach is a reliable and versatile option for the exposure of the mandibular condyle, being a safe and aesthetic incision on the management of the subcondylar area. The surgical team use it as a novel tool in the approach for condyle fractures.

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Section: Discussionmentioning

confidence: 99%

“…5 –7 A prospective clinical comparative study published by Ramaraj described the minor relation between the transmasseteric route and parotid gland fistulae if compared with the transparotid route. 8…”

Section: Discussionmentioning

confidence: 99%

The Preauricular Transmasseteric Approach: A Novel Option for the Exposure of Mandibular Condyle Fracture

Silveira

Costa

Amaral

2021

Craniomaxillofacial Trauma & Reconstruction Open

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“…The reasons why condyles are prone to fracture during trauma are related to the thinness of the condylar neck compared to the mandible body, its location against a solid cranial base, and the traction performed by the lateral ptery-goid muscle. 2 Treatment planning of condylar fractures is of great importance because when they are not adequately treated, that may lead to malocclusion, facial asymmetry, temporomandibular joint (TMJ) ankylosis, decreased posterior facial height, and future disturbances in dentofacial development, especially in children. 3 Mandibular condylar fractures are generally classified into intra-or extra-capsular fractures, and the latter is further classified as neck or sub condylar fractures.…”

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confidence: 99%

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confidence: 99%

Condylar Fractures: Multistep Surgical Planning by Mini-Invasive Approach, Patient Series

Cortese

Catalano

Rauso

et al. 2022

Journal of Craniofacial Surgery

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“…Several minimally invasive approaches have been proposed in order to provide shorter and more direct route to the surgical areas, such as trans-parotid approach and trans-masseteric anteroparotid approach. [5][6][7][8] However, scars on the face through these approaches sometimes still could not be accepted by patients. Inspired by face-lift approach, we designed a smaller ''v'' shaped incision to further alleviate the influence on postoperational aesthetic appearance.…”

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confidence: 99%

A Modified Minimally Invasive Approach for the Treatment of Mandibular Condylar Fracture

Yang

Wang

Hexiu

et al. 2021

Journal of Craniofacial Surgery

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In this study, we introduced a small “V” shaped incision around the ear lobe modified from fact-lift approach to treat the mandibular condylar neck and subcondylar fractures to further minimize and hide the postsurgical scars. A total of 15 cases with mandibular condylar fractures from low levels of condylar neck to high levels of subcondylar region were treated by this approach. An incision was designed from the posterior rim of the tragus down to the anterior skin wrinkle to the ear lobe, surrounding it, continually up and backward for a little distance, forming a “V”-like shape. After cutting and elevation of the skin flap, the remaining steps were the same as those in trans-parotid mini-invasive approaches. The surgical scars introduced in this study were more hidden than those in other mini-invasive approaches and all patients were satisfied with their aesthetic appearances. We suggested that the modified “V” shaped mini-invasive approach has an advantage in achieving aesthetic results and could be an alternative incision in treating some types of mandibular condylar and subcondylar fractures.

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Variations in the retromandibular approach to the condyle-transparotid versus anteroparotid transmasseteric – a prospective clinical comparative study

Cited by 8 publications

References 18 publications

The Preauricular Transmasseteric Approach: A Novel Option for the Exposure of Mandibular Condyle Fracture

The Preauricular Transmasseteric Approach: A Novel Option for the Exposure of Mandibular Condyle Fracture

Condylar Fractures: Multistep Surgical Planning by Mini-Invasive Approach, Patient Series

A Modified Minimally Invasive Approach for the Treatment of Mandibular Condylar Fracture

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