Efficacy of the Retroparotid Trans-Masseteric Approach via Retromandibular Incision in ORIF of Subcondylar Fractures: Our Institution Experience
- 42 Downloads
Fractures of the mandible subcondyle have always presented a challenge to the maxillofacial surgeon, with a myriad of treatment options existing ranging from conservative management to open reduction and internal fixation (ORIF) to condylotomy. The complex anatomy of the region poses a challenge, with injury to the facial nerve branches being the primary concern.
This study evaluated the efficacy of a modified retromandibular approach, with retroparotid trans-masseteric dissection for ORIF of subcondylar fractures.
Twenty-five patients with subcondylar fractures at varying levels were treated surgically by ORIF using this approach.
All patients managed by this modified retromandibular approach had satisfactory results with restoration of vertical ramal height, satisfactory mouth opening, stable occlusion and no facial nerve damage post-op.
In our study, the modified retromandibular approach, with retroparotid trans-masseteric approach was effective in surgical management of subcondylar fractures by ORIF with minimal complications.
KeywordsSubcondyle fractures Retromandibular Retroparotid approach
Compliance with Ethical Standards
Conflict of interest
- 3.Myall R (1994) Condylar injuries in children: What is different about them? In: Whortington P (ed) Controversies in oral and maxillofacial surgery. WB Saunders, Philadelphia, pp 191–200Google Scholar
- 5.Silverman SL (1925) A new operation for displaced fractures at the neck of the mandibular condyle. Dentisuto Cosmos 67:876Google Scholar
- 13.Hinds E, Girotti W (2001) Vertical subcondylar osteotomy: a reappraisal. J Oral Surg 24(164):170Google Scholar