Retromandibular transparotid approach for subcondylar mandibular fracture: A retrospective study
Dental Traumatology Nov 18, 2020
koirala U, et al. - Researchers focused on the safety as well as the morbidity of the retromandibular transparotid approach for open reduction and internal fixation of subcondylar mandibular fracture, in this retrospective cohort analysis. This analysis involved 29 patients with 35 subcondylar mandibular fractures who underwent open reduction and internal fixation via the retromandibular transparotid approach. Transient facial nerve palsy occurred in four (11.42%) patients. Slight malocclusion occurred in four patients (13.8%), and two developed surgical site infections, two had sialoceles and one had a salivary fistula. Overall, findings demonstrated the safety as well as the effectiveness of retromandibular transparotid approach in the management of subcondylar fracture of the mandible, and this approach was associated with rare major complications. Increased risk of development of facial nerve palsy was observed in relation to condylar neck fractures and displaced fractured segments.
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