The Journal of the Korean dental association (대한치과의사협회지)

The Korean Dental Association (대한치과의사협회)
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Retromandibular approach for the management of subcondylar fractures, followed by treatment of parotid gland fistulae: Case report

하악 과두하 골절시 후하악 접근법에 의한 수술 후 발생한 이하선 누공 형성과 이에 대한 치료 증례

  • Ro, Jae-Chan (Dept. of Oral and Maxillofacial Surgery, Hallym University Sacred Heart Hospital) ;
  • Kim, Ju-Won (Dept. of Oral and Maxiilofacial Surgery, Hallym University College of Medicine) ;
  • Yang, Byoung-Eun (Graduate School of Clinical Dentistry, Hallym University)
  • 노재찬 (한림대학교성심병원 구강악안면외과) ;
  • 김주원 (한림대학교의과대학 구강악안면외과) ;
  • 양병은 (한림대학교 임상치의학대학원)
  • Received : 2017.04.24
  • Accepted : 2017.07.06
  • Published : 2017.10.01
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Abstract

Condylar fractures account for one-third of all mandibular fractures. There are many surgical methods for the open reduction of condylar fractures, such as the transoral, submandibular, preauricular, and retromandibular approaches. Two patients suffering from condylar fractures, a 45-year-old man and a 25-year-old man, were admitted to our hospital. Both patients' condylar fractures were positioned too high for us to use the transoral approach. Therefore, we employed the retromandibular method to expedite the approach to the fracture site and minimize the size of the incision. After the surgical procedures in both cases, we experienced complications in the form of parotid gland fistulae, which rarely result from the retromandibular approach. A combination of botulinum toxin injection and amitriptyline medication was effective for the management of these parotid gland fistulae. Here, we report these two cases and offer a review of the literature on this article.

Keywords

References

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