SavedAdd your journal

Journals / Ulusal Travma ve Acil Cerrahi Dergisi / 2017 / Cilt: 23 - Sayı: 3

Retromandibular transparotid approach for subcondylar mandibular fractures: A retrospective study

GÖKHAN GÖÇMEN
ALTAN VAROL
ONUR ATALI
Sertaç AKTOP
SELÇUK BASA
Pages
251–257
DOI
—
🏛️Bibliographic metadata and full text access for this article are provided via DergiPark.
DergiPark Record ↗
✨

AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

It facilitates reduction and fixation of subcondylar fractures with functional outcomes and rare complications

📌 3 Key Takeaways

🎯
Objective & Hypothesis:BACKGROUND: The aim was to evaluate the effectiveness and complications of retromandibular transparotid approach performed for the reduction of dislocated subcondylar fractures.METHODS: Fourteen patients with subcondylar mandibular fractures were evaluated (8 male, 6 female, age range 19–43 years).
📊
Key Findings & Data:One salivary fistula occurred after surgery but was healed after 3 weeks.
💡
Conclusion & Impact:It facilitates reduction and fixation of subcondylar fractures with functional outcomes and rare complications
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Abstract

BACKGROUND: The aim was to evaluate the effectiveness and complications of retromandibular transparotid approach performed for the reduction of dislocated subcondylar fractures.METHODS: Fourteen patients with subcondylar mandibular fractures were evaluated (8 male, 6 female, age range 19–43 years). The primary predictor variable in the present study was time (preoperative vs postoperative). The primary outcome variables were inflammatory complication, facial nerve deficit (House and Brackmann classification), and presence of parotid fistula. The secondary outcome variables were occlusal disturbances, maximal interincisal opening (MIO), and temporomandibular joint (TMJ) pain (VAS).RESULTS: Excellent occlusion and function was observed postoperatively. One salivary fistula occurred after surgery but was healed after 3 weeks. No inflammatory complication was observed. Three patients had grade III and one patient had grade II facial nerve deficit, all recovered in 6 weeks. All patients were free of pain and no malocclusion was observed. MIO was ranging from 34 to 58 mm (mean 44.4 mm) after 6 months.CONCLUSION: The retromandibular transparotid approach is feasible and safe. It facilitates reduction and fixation of subcondylar fractures with functional outcomes and rare complications

🔖

Cite This Article

GÖÇMEN, G., VAROL, A., ATALI, O., AKTOP, S., BASA, S. (2017). Retromandibular transparotid approach for subcondylar mandibular fractures: A retrospective study. Ulusal Travma ve Acil Cerrahi Dergisi, Cilt: 23 - Sayı: 3, 251–257. https://ajindex.com/articles/323663

📄 Full Text PDF Viewer

📄

PDF görüntüleyici hazırlanıyor...

References (13)

  1. Handschel J, Rüggeberg T, Depprich R, Schwarz F, Meyer U, Kübler NR, et al. Comparison of various approaches for the treatment of fractures of the mandibular condylar process. J Craniomaxillofac Surg 2012;40:397– 401
  2. Ellis E 3rd, Dean J. Rigid fixation of mandibular condyle fractures. Oral Surg Oral Med Oral Pathol 1993;76:6–15
  3. Kyzas PA, Saeed A, Tabbenor O. The treatment of mandibular condyle fractures: a meta-analysis. J Craniomaxillofac Surg 2012;40:438–52
  4. Lachner J, Clanton JT, Waite PD. Open reduction and internal rigid fixation of subcondylar fractures via an intraoral approach. Oral Surg Oral Med Oral Pathol 1991;71:257–61
  5. Martin M, Lee C. Endoscopic mandibular condyle fracture repair. Atlas Oral Maxillofac Surg Clin North Am 2003;11:169–78
  6. Spiessl B, Schroll K. Spezielle Frakturenund Luxationslehre. Ein kurzes Handbuch in fünf Bänden. Band I/1 Gesichtsschädel 1972:317
  7. House JW, Brackmann DE. Facial nerve grading system. Otolaryngol Head Neck Surg 1985;93:146–7
  8. Saponaro A, Stecco A, Brucoli M, Armienti F, Stellin L, Favano F, et al. Magnetic resonance imaging in the postsurgical evaluation of patients with mandibular condyle fractures treated using the transparotid approach: our experience. J Oral Maxillofac Surg 2009;67:1815–20
  9. Brandt MT, Haug RH. Open versus closed reduction of adult mandibular condyle fractures: a review of the literature regarding the evolution of current thoughts on management. J Oral Maxillofac Surg 2003;61:1324–32
  10. Klatt J, Pohlenz P, Blessmann M, Blake F, Eichhorn W, Schmelzle R, et al. Clinical follow-up examination of surgically treated fractures of the condylar process using the transparotid approach. J Oral Maxillofac Surg 2010;68:611–7
  11. Ellis E 3rd, McFadden D, Simon P, Throckmorton G. Surgical complications with open treatment of mandibular condylar process fractures. J Oral Maxillofac Surg 2000;58:950–8
  12. Tang W, Gao C, Long J, Lin Y, Wang H, Liu L, et al. Application of modified retromandibular approach indirectly from the anterior edge of the parotid gland in the surgical treatment of condylar fracture. J Oral Maxillofac Surg 2009;67:552–8
  13. Dalla Torre D, Burtscher D, Widmann G, Pichler A, Rasse M, Puelacher W. Surgical treatment of mandibular condyle fractures using the retromandibular anterior transparotid approach and a triangular-positioned double miniplate osteosynthesis technique: A clinical and radiological evaluation of 124 fractures. J Craniomaxillofac Surg