Retromandibular Approach and its Different Variations in the Management of Fracture Condyle: Surgical Experience

Area of Science:

• Maxillofacial Surgery
• Orthognathic Surgery
• Trauma Management

Background:

• Condylar fractures are a complex area within maxillofacial surgery.
• Surgical intervention is increasingly favored for managing these fractures.
• The retromandibular approach offers various techniques for accessing condylar fractures.

Purpose of the Study:

• To describe variations of the retromandibular approach for condylar fracture management.
• To evaluate the surgical outcomes of these retromandibular approach variations.
• To advocate for the retromandibular approach based on clinical experience.

Main Methods:

• Retrospective analysis of 15 cases involving condylar fractures.
• Management utilized the retromandibular approach and its distinct variations.
• Surgical outcomes were documented and assessed based on clinical experience.

Main Results:

• The retromandibular approach was successfully employed in all 15 cases.
• Retromandibular retroparotid and anteroparotid variations demonstrated superior accessibility.
• These specific variations were associated with reduced intraoperative bleeding and minimal facial nerve injury.

Conclusions:

• The retromandibular approach is a recommended surgical technique for condylar fractures.
• Retromandibular retroparotid and anteroparotid approaches provide optimal outcomes.
• These techniques enhance surgical access while minimizing complications like bleeding and nerve damage.