Retromandibular Transparotid Approach to Subcondylar Fractures: Our 4 Years Experience

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Retromandibular Transparotid Approach to Subcondylar Fractures: Our 4 Years Experience

Parumo R, Ma BC, Sujak R, Jelon A: Retromandibular Transparotid Approach to Subcondylar Fractures: Our 4 Years Experience. Mal. J. Oral Maxillofac. Surg. 2013; 11: 17–25.

Abstract: Aim: To evaluate the surgical morbidity and efficiency of retromandibular transparotid approach in the management of subcondylar fractures in comparison with the other studies and also to evaluate the stability of different type of rigid fixation system used.

Method: This retrospective clinical study comprises a total of 29 patients with 33 condylar fractures that were operated using retromandibular transparotid approach between January 2010 and December 2013. Postoperative complications and outcomes were evaluated at a minimum of 3 months and compared with the other studies. All surgical scars were assessed after 3 months. The surgical time was recorded intraoperatively and the stability of the rigid fixation systems was evaluated radiographically.

Result: There was no major complication in all cases. There were 2 cases (6%) of temporary facial nerve palsy which resolved after 3 weeks. All surgical scars were barely visible after 3 months. There is no fracture or loosening of screws with any of the 3 different plates used.

Conclusion: The non aggrasive retromandibular transparotid approach is a safe and efficient surgical method of ORIF (open reduction with internal fixation) of subcondylar fractures of the mandible. It provides direct visual access to the fracture site with satisfactory functional outcome and low morbidity. It allows the correct placement of the miniplates and screw which lead to a stable osteosynthesis of subcondylar fractures.