Clinical Assessment of Retromandibular Antero-Parotid Approach for Reduction of Mandibular Subcondylar Fractures: Report of 60 Cases and Review of the Literature.
Case Reports
Fracture Fixation
Mandibular Condyle
Parotid Region
Surgical Procedures
Wounds and Injuries
Journal
Frontiers in dentistry
ISSN: 2676-296X
Titre abrégé: Front Dent
Pays: Iran
ID NLM: 101747773
Informations de publication
Date de publication:
Aug 2020
Aug 2020
Historique:
received:
29
11
2019
accepted:
13
06
2020
entrez:
22
2
2021
pubmed:
23
2
2021
medline:
23
2
2021
Statut:
ppublish
Résumé
This study assessed the efficacy of the retromandibular antero-parotid approach for open reduction and internal fixation (ORIF) of subcondylar fractures. Sixty patients with the mean age of 31.03 years underwent surgical reduction with a 20-25mm incision in the retromandibular area with an antero-parotid transmasseteric approach. All patients were followed between 6 to 12 months. At the end of the first week, six patients exhibited postoperative malocclusion. At the next visits, all patients had optimal occlusion. Maximal interincisal opening (MIO) of 56 patients (93.3%) was >37mm, and only four patients (6.7%) had MIO<37mm. In three patients (5%), weakness of the buccal branch of the facial nerve was noticed postoperatively. No salivary gland complications were seen. The surgical scar was hardly noticeable. Retromandibular access with transmasseteric antero-parotid approach is the technique of choice for treatment of high- and low-level subcondylar fractures with adequate visibility and direct access to the condylar area.
Identifiants
pubmed: 33615293
doi: 10.18502/fid.v17i17.4180
pii: FID-17-17
pmc: PMC7883655
doi:
Types de publication
Journal Article
Review
Langues
eng
Pagination
1-9Informations de copyright
© 2020 The Authors. Published by Tehran University of Medical Sciences.
Déclaration de conflit d'intérêts
CONFLICT OF INTEREST STATEMENT None declared
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