Clinical Assessment of Retromandibular Antero-Parotid Approach for Reduction of Mandibular Subcondylar Fractures: Report of 60 Cases and Review of the Literature.
| Autor: | Parhiz A; Dental Research Center, Dentistry Research Institute, Tehran University of Medical Sciences, Tehran, Iran.; Department of Oral and Maxillofacial Surgery, School of Dentistry, Tehran University of Medical Sciences, Tehran, Iran., Parvin M; Department of Oral and Maxillofacial Surgery, School of Dentistry, Tehran University of Medical Sciences, Tehran, Iran., Pirayvatlou SS; Dental Research Center, Dentistry Research Institute, Tehran University of Medical Sciences, Tehran, Iran. |
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| Jazyk: | angličtina |
| Zdroj: | Frontiers in dentistry [Front Dent] 2020 Aug; Vol. 17 (17), pp. 1-9. Date of Electronic Publication: 2020 Aug 28. |
| DOI: | 10.18502/fid.v17i17.4180 |
| Abstrakt: | 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. Competing Interests: CONFLICT OF INTEREST STATEMENT None declared (© 2020 The Authors. Published by Tehran University of Medical Sciences.) |
| Databáze: | MEDLINE |
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