Novel use of the transparotid approach to the mandible for benign pathology

Access to the mandibular ramus can be difficult. There are a number of described methods for accessing the mandibular ramus and condyle, including a transoral or transcutaneous approach. Access via a transoral approach prevents surgical scars but can result in an excessive amount of bone removal from the anterior mandibular ramus. The transparotid approach has been described and commonly used for the management of mandibular trauma. It allows for direct access to the mandibular ramus and condyle with a number of possible complications, including salivary fistula formation, sialocele and facial nerve injury. Despite these risks, this approach is commonly used in the setting of trauma. This case report describes an additional indication, the successful use of the transparotid approach for the management of benign odontogenic pathology.