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Open Treatment of Mandibular Condyle by Direct Transparotid Approach: Our Experience.
Mohammed Salman Basha1, Hussain AlAithan2, Nyer Firdoose3
1Oral and Maxillofacial Surgery, Aster Sanad Hospital, Riyadh, Saudi Arabia.
Craniomaxillofacial Trauma & Reconstruction
|July 10, 2020
Summary
This study evaluates the direct transparotid approach for managing mandibular condyle fractures. The technique proved effective with no major complications, offering an acceptable scar and good functional outcomes.
Area of Science:
- Maxillofacial Surgery
- Orthognathic Surgery
- Trauma Surgery
Background:
- Mandibular condyle fractures are frequent in maxillofacial surgery.
- Surgical management decisions (open vs. closed reduction) remain debated.
- Open reduction of condylar fractures presents technical challenges.
Purpose of the Study:
- To present the surgical experience with the direct transparotid approach for mandibular condyle fractures.
- To evaluate the efficacy and safety of this surgical technique.
- To assess patient outcomes including complications, scar, function, and occlusion.
Main Methods:
- A direct transparotid surgical approach was utilized.
- The technique was applied to treat 13 cases of condyle fractures.
- Patients were monitored for 12 months postoperatively.
- Evaluated parameters included facial nerve injury, salivary fistula, scar, function, and occlusion.
Main Results:
- The direct transparotid approach was successfully employed in 13 patients.
- No major intraoperative or postoperative complications were reported.
- Patients exhibited acceptable scarring.
- Good functional recovery and occlusion were observed post-surgery.
Conclusions:
- The direct transparotid approach is a viable and safe surgical option for managing mandibular condyle fractures.
- This technique offers favorable outcomes regarding complications, aesthetics, and function.
- Further experience with this approach can refine treatment protocols for condylar fractures.
