A Novel Posterior Temporal Hairline Approach for Condylar Head Fracture

Area of Science:

• Oral and Maxillofacial Surgery
• Orthopedic Surgery
• Anatomy

Background:

• Traditional preauricular incisions for mandibular condylar head fractures require extensive soft-tissue elevation.
• This can lead to increased operative time and potential complications.
• Anteroinferomedially displaced fragments present unique exposure challenges.

Purpose of the Study:

• To introduce and validate a novel temporal hairline surgical approach.
• To assess its efficacy in exposing anteroinferomedially displaced mandibular condylar head fracture fragments.
• To evaluate its applicability in temporomandibular joint (TMJ) surgeries.

Main Methods:

• A novel temporal hairline incision was developed and utilized.
• Surgical exposure of anteroinferomedially displaced condylar fracture fragments was performed.
• The approach was validated for its effectiveness and concealment.
• Applicability to other TMJ surgeries was assessed.

Main Results:

• The temporal hairline approach provides rapid exposure of displaced condylar fracture fragments.
• The incision is discreetly located within the temporal hairline.
• The technique facilitates access to anteroinferomedially displaced fragments.
• The approach is suitable for various TMJ-related procedures.

Conclusions:

• The temporal hairline approach is a viable and effective alternative for treating mandibular condylar head fractures.
• It offers advantages in exposure and cosmesis over preauricular incisions.
• This technique expands surgical options for TMJ disorders.