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Case Reports
. 2022 Jan-Apr;13(1):117-120.
doi: 10.4103/njms.NJMS_224_20. Epub 2022 Apr 20.

Mini - Retromandibular access to sub condylar mandibular fractures - Our experience

Saravanan Kandasamy  1 , Reena Rachel John  2
Affiliations
Case Reports

Mini - Retromandibular access to sub condylar mandibular fractures - Our experience

Saravanan Kandasamy et al. Natl J Maxillofac Surg. 2022 Jan-Apr.

Abstract

Condylar fractures alone accounts to about 25% to 40% of all the fractures of mandible. Management of condylar fractures has always been a controversy. Nowadays there has been more emphasis on open reduction of condylar fractures by the surgeons.The reasons could be the result of complications of closed reduction where the patient may not be able to masticate properly and deviation still present thereby the structural and functional loss forcing the surgeons' choice to open up. The anterior parotid approach has lesser risk of injury to parotid gland and also to facial nerve we attempted to use mini retro mandibular access for such fractures. So the aim was to explore the feasibility of the mini retro mandibular approach to sub condylar fractures. The patients reported to the department of oral and maxillofacial surgery department clinically and radio logically diagnosed and treated for condylar fractures were included. The maximal mouth opening, protrusive and lateral excursive movements, midline orientation with opposing arch, scar visibility, sialocele and facial nerve weakness were all recorded post operatively and compared with pre-operative recording. The mini retro mandibular access with anterior parotid transmessetric approach to sub condylar fractures can be the choice for the surgical management of sub condylar fractures which is absolutely easy, reliable, with less visible scar and with less chances of landing in facial nerve complications.

Keywords: Condylar fractures; extracapsular fractures; jaw fixation techniques; mandibular fractures; open reduction of condylar fractures; subcondylar fractures.

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Figures

Figure 1
Figure 1
(a) Preoperative view. (b) Step deformity noted. (c) Computed tomography image of the pt
Figure 2
Figure 2
(a)Site exposed and reduced - the body of the mandible. (b) plating done (c) Left side - Mini retromandibular incision marking done. (d) laterally overrided condyle. (e)segments reduced by relieving occlusion. (f) Plating done after maxillo-mandibular fixation
Figure 3
Figure 3
(a) Orthopantomogram of the pt. (b) Review of the pt - Profile vie
See this image and copyright information in PMC

References

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