Usefulness of the retromandibular transparotid approach for condylar neck and condylar base fractures

The Journal of Craniofacial Surgery
Bae-Kyung KimByung-Joon Choi

Abstract

Condyle fractures represent 20% to 30% of all mandibular fractures and are thus among the most common facial fractures. The fracture pattern can vary greatly and may occur anywhere along the line from the sigmoid notch to the mandibular angle. The main problems are access, difficulty in repositioning the extremely slender fragments, and fixation of the condyle.Eighty-seven patients were diagnosed with condylar neck or condylar base fractures from January 2007 to December 2009 in the Department of Oral & Maxillofacial Surgery of Kyung Hee University Dental Hospital. In this study, we included 35 patients who underwent open surgery and a total of 28 patients who were treated using a retromandibular transparotid approach.Surgical treatment aims were anatomic repositioning and rigid fixation of the fragments, occlusal stability, rapidly return to function, maintenance of vertical ramus dimension, no airway compromise, and reduced long-term temporomandibular joint dysfunction. Considering the high rate of occurrence of condylar fracture and the importance of the condylar as a growth center of the mandible, extraoral approaches for the open reduction of condylar fractures are considered effective and can be used widely.Short access r...Continue Reading

References

Nov 1, 1991·Journal of Oral and Maxillofacial Surgery : Official Journal of the American Association of Oral and Maxillofacial Surgeons·X Zhang, G Obeid
Dec 1, 1988·Journal of Oral and Maxillofacial Surgery : Official Journal of the American Association of Oral and Maxillofacial Surgeons·T S JeterG J Nishioka
Nov 11, 2009·The British Journal of Oral & Maxillofacial Surgery·Khalid Abdel-Galil, Richard Loukota

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Citations

Oct 1, 2013·Journal of Oral and Maxillofacial Surgery : Official Journal of the American Association of Oral and Maxillofacial Surgeons·Carl Bouchard, Marie-Hélène Perreault
Nov 6, 2015·Journal of Cranio-maxillo-facial Surgery : Official Publication of the European Association for Cranio-Maxillo-Facial Surgery·Maciej SikoraDariusz Chlubek
Aug 20, 2015·Journal of Cranio-maxillo-facial Surgery : Official Publication of the European Association for Cranio-Maxillo-Facial Surgery·Han-Tsung LiaoChien-Tzung Chen
Jun 2, 2015·Journal of Cranio-maxillo-facial Surgery : Official Publication of the European Association for Cranio-Maxillo-Facial Surgery·Daniel Dalla TorreWolfgang Puelacher
Jul 10, 2014·The Journal of Craniofacial Surgery·Ricardo Augusto ConciClaiton Heitz
Apr 11, 2014·The Journal of Craniofacial Surgery·Özgur PilanciSamet Vasfi Kuvat
Aug 17, 2018·Annals of the Royal College of Surgeons of England·X LinX-P Huang
Oct 16, 2015·The Journal of Craniofacial Surgery·Takaya MakiguchiKensuke Kosugi
Aug 29, 2020·Annals of Maxillofacial Surgery·Kishore Felix, Madhumati Singh
May 8, 2018·Journal of the Korean Association of Oral and Maxillofacial Surgeons·Jeroen Van Hevele, Erik Nout
Nov 9, 2020·Journal of Oral and Maxillofacial Surgery : Official Journal of the American Association of Oral and Maxillofacial Surgeons·Jeetendra MandalGanesh Chaudhary

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