Extraoral approach to mandibular condylar fractures: Our experience with 100 cases |
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| Institution: | 1. Department of Oral and Maxillofacial Surgery, Shimane University Faculty of Medicine, Izumo, Shimane, Japan;2. Division of Oral and Maxillofacial Surgery, Kagawa Prefectural Central Hospital, Takamatsu, Kagawa, Japan;1. Department of Oral & Maxillofacial Surgery, All India Institute of Medical Sciences, New Delhi 110029, India;2. Department of Anaesthesia, All India Institute of Medical Sciences, New Delhi 110029, India;1. Department of Maxillofacial Surgery, Hospital of the Ministry of Interior, Kielce, Wojska Polskiego 51, 25-375 Kielce, Poland;2. Department of Biochemistry and Medical Chemistry, Pomeranian Medical University, Powstańców Wlkp. 72, 70-111 Szczecin, Poland;3. Department of Hygiene and Epidemiology, Pomeranian Medical University, Powstańców Wlkp. 72, 70-111 Szczecin, Poland;4. Department of General Dentistry, Pomeranian Medical University, Powstańców Wlkp. 72, 70-111 Szczecin, Poland;1. Associate Professor, Department of Oral and Maxillofacial Surgery, Shimane University Faculty of Medicine, Izumo, Japan; and Attending OMS Surgeon, Division of Oral and Maxillofacial Surgery, Kagawa Prefectural Central Hospital, Takamatsu, Kagawa, Japan;2. Chief Consultant OMS Surgeon, Division of Oral and Maxillofacial Surgery, Kagawa Prefectural Central Hospital, Takamatsu, Kagawa, Japan;3. Formerly Assistant Professor, Department of Oral and Maxillofacial Surgery, Shimane University Faculty of Medicine, Izumo, Japan, and Director, Division of Oral and Maxillofacial Surgery, Oki Hospital, Oki, Shimane, Japan;4. Assistant Professor, Department of Oral and Maxillofacial Surgery, Shimane University Faculty of Medicine, Izumo, Japan;6. Director and Chair, Division of Oral and Maxillofacial Surgery, Matsue City Hospital, Matsue, Shimane, Japan;5. Biostatistician, Translational Research Informatics Center, Foundation of Biomedical Research and Innovation, Kobe, Japan;7. Professor and Head, Department of Oral and Maxillofacial Surgery, Shimane University Faculty of Medicine, Izumo, Japan;1. Faculty of Medicine, Zentrum für Zahnmedizin, University of Zürich, Zürich, Switzerland;2. Department of Oral and Maxillofacial Surgery, University Hospital of Zürich, Zürich, Switzerland;1. Assistant Professor, Department of Oral and Maxillofacial Surgery, Centre Hospitalier Universitaire de Québec, Université Laval, Hôpital de l''Enfant-Jésus, Québec, Québec, Canada;2. Dental Student, Centre Hospitalier Universitaire de Québec, Université Laval, Hôpital de l''Enfant-Jésus, Québec, Québec, Canada |
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| Abstract: | IntroductionMandibular condylar fractures are very common. The current literature contains many indications and methods of treatment. Extraoral approaches are complicated by the need to avoid injury to the facial nerve. On the other hand intraoral approaches can make fracture reduction and/or fixation difficult. The mini-retromandibular approach provides an excellent view of the surgical field, minimises the risk of injury to the facial nerve, and allows rapid and easy management of condylar fractures.We have collected and reviewed our first 100 condylar fractures treated by means of a mini-retromandibular approach.Patients and methodsBetween June 2006 and June 2012, Eighty-seven patients with extracapsular condylar fractures underwent open reduction and rigid fixation for 100 extracapsular condylar fractures via a mini-retromandibular approach.ResultsDental occlusion and anatomic reduction were restored in all 100 condylar fractures. Postoperative infection developed in three patients. There was one sialocele and one case of plate fracture. Four patients experienced transient palsy of the buccal branch of the facial nerve. No permanent deficit of any facial nerve branch was observed.No patient showed condylar head resorption.ConclusionsOur experience with the treatment of the first 100 condylar fractures using the mini-retromandibular approach has demonstrated that this technique has allowed the Authors to safely manage extracapsular condylar fractures at all levels. |
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| Keywords: | Condylar fracture Extraoral approach Retromandibular access Mini-retromandibular access |
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