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Modified submandibular access for open reduction and internal rigid fixation in condylar fractures
Ricardo Augusto Conci1, Flávio Henrique Silveira Tomazi, Rosana Kalaoun
1From the *Pontifícia Universidade Católica do Rio Grande do Sul - PUC/RS, Porto Alegre, RS, Brazil; and †Universidade Estadual do Oeste do Paraná - UNIOESTE, Paraná, Brazil.
The Journal of Craniofacial Surgery
|December 6, 2014
Summary
A modified submandibular access offers a safe and effective surgical technique for treating condylar fractures. This approach ensures excellent functional outcomes with minimal patient morbidity.
Area of Science:
- Oral and Maxillofacial Surgery
- Surgical Techniques
Background:
- Condylar fractures are common and significant injuries.
- Various surgical and conservative treatments exist, with ongoing debate on optimal methods.
Purpose of the Study:
- To describe a modified submandibular access surgical technique for condylar fractures.
- To highlight the technique's efficiency and low morbidity.
Main Methods:
- A modified submandibular approach using a small incision at the mandibular angle.
- Dissection between parotideomasseteric and transmasseteric fascia.
- Fixation with plates and screws as per surgeon's preference.
Main Results:
- The modified submandibular access is safe and reproducible.
- Excellent functional results were achieved.
- The procedure is routinely performed with success.
Conclusions:
- Modified submandibular access is a viable surgical option for condylar fractures.
- The technique provides good functional outcomes and is associated with low morbidity.
