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http://dx.doi.org/10.5125/jkaoms.2018.44.2.73

Complications of the retromandibular transparotid approach for low condylar neck and subcondylar fractures: a retrospective study  

Hevele, Jeroen Van (Department of Oral and Maxillofacial Surgery, ETZ Hospitals)
Nout, Erik (Department of Oral and Maxillofacial Surgery, ETZ Hospitals)
Publication Information
Journal of the Korean Association of Oral and Maxillofacial Surgeons / v.44, no.2, 2018 , pp. 73-78 More about this Journal
Abstract
Objectives: The goal of this study was to evaluate the rates of complications, morbidity, and safety with the transparotid approach. Materials and Methods: A retrospective study was conducted and consisted of 53 surgically treated patients in the past five years for low condylar neck and subcondylar fractures. Only patients with malocclusion and who underwent open reduction with internal fixation with the retromandibular transparotid approach were included. The examined parameters were postoperative suboptimal occlusion, deflection, saliva fistula, and facial nerve weakness. Results: Fifty-three patients had an open reduction with internal fixation on 55 sides (41 males, 77.4%; mean age, 42 years [range, 18-72 years]). Four patients (7.5%) experienced transient facial nerve weakness of the marginal mandibular branch, but none was permanent. Four patients had a salivary fistula, and 5 patients showed postoperative malocclusion, where one needed repeat surgery after one year. One patient showed long-term deflection. No other complications were observed. Conclusion: The retromandibular transparotid approach is a safe procedure for open reduction and internal fixation of low condylar neck and subcondylar fractures, and it has minimal complications.
Keywords
Maxillofacial surgery; Mandibular fractures; Open fracture reduction; Parotid gland;
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1 Croce A, Moretti A, Vitullo F, Castriotta A, Rosa de M, Citraro L. Transparotid approach for mandibular condylar neck and subcondylar fractures. Acta Otorhinolaryngol Ital 2010;30:303-9.
2 Hackenberg B, Lee C, Caterson EJ. Management of subcondylar mandible fractures in the adult patient. J Craniofac Surg 2014;25:166-71.   DOI
3 Kellman RM, Cienfuegos R. Endoscopic approaches to subcondylar fractures of the mandible. Facial Plast Surg 2009;25:23-8.   DOI
4 Schubert W, Jenabzadeh K. Endoscopic approach to maxillofacial trauma. J Craniofac Surg 2009;20:154-6.   DOI
5 Zide MF, Kent JN. Indications for open reduction of mandibular condyle fractures. J Oral Maxillofac Surg 1983;41:89-98.   DOI
6 Bouchard C, Perreault MH. Postoperative complications associated with the retromandibular approach: a retrospective analysis of 118 subcondylar fractures. J Oral Maxillofac Surg 2014;72:370-5.   DOI
7 Ellis E 3rd. Condylar process fractures of the mandible. Facial Plast Surg 2000;16:193-205.   DOI
8 Yang L, Patil PM. The retromandibular transparotid approach to mandibular subcondylar fractures. Int J Oral Maxillofac Surg 2012;41:494-9.   DOI
9 Ellis E 3rd, McFadden D, Simon P, Throckmorton G. Surgical complications with open treatment of mandibular condylar process fractures. J Oral Maxillofac Surg 2000;58:950-8.   DOI
10 Chossegros C, Cheynet F, Blanc JL, Bourezak Z. Short retromandibular approach of subcondylar fractures: clinical and radiologic long-term evaluation. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 1996;82:248-52.   DOI
11 Bindra S, Choudhary K, Sharma P, Sheorain A, Sharma CB. Management of mandibular sub condylar and condylar fractures using retromandibular approach and assessment of associated surgical complications. J Maxillofac Oral Surg 2010;9:355-62.   DOI
12 Biglioli F, Colletti G. Mini-retromandibular approach to condylar fractures. J Craniomaxillofac Surg 2008;36:378-83.   DOI
13 Ellis E 3rd, Dean J. Rigid fixation of mandibular condyle fractures. Oral Surg Oral Med Oral Pathol 1993;76:6-15.   DOI
14 Devlin MF, Hislop WS, Carton AT. Open reduction and internal fixation of fractured mandibular condyles by a retromandibular approach: surgical morbidity and informed consent. Br J Oral Maxillofac Surg 2002;40:23-5.   DOI
15 Troulis MJ, Ramirez JL, Kaban LB. Endoscopic approach for mandibular orthognathic surgery. Facial Plast Surg Clin North Am 2006;14:45-50.   DOI
16 Kim BK, Kwon YD, Ohe JY, Choi YH, Choi BJ. Usefulness of the retromandibular transparotid approach for condylar neck and condylar base fractures. J Craniofac Surg 2012;23:712-5.   DOI
17 Shi D, Patil PM, Gupta R. Facial nerve injuries associated with the retromandibular transparotid approach for reduction and fixation of mandibular condyle fractures. J Craniomaxillofac Surg 2015;43:402-7.   DOI
18 Worsaae N, Thorn JJ. Surgical versus nonsurgical treatment of unilateral dislocated low subcondylar fractures: a clinical study of 52 cases. J Oral Maxillofac Surg 1994;52:353-60; discussion 360-1.
19 Bos RR, Ward Booth RP, de Bont LG. Mandibular condyle fractures: a consensus. Br J Oral Maxillofac Surg 1999;37:87-9.   DOI
20 Ellis E 3rd, Moos KF, el-Attar A. Ten years of mandibular fractures: an analysis of 2,137 cases. Oral Surg Oral Med Oral Pathol 1985;59:120-9.   DOI
21 Brandt MT, Haug RH. Open versus closed reduction of adult mandibular condyle fractures: a review of the literature regarding the evolution of current thoughts on management. J Oral Maxillofac Surg 2003;61:1324-32.   DOI
22 Palmieri C, Ellis E 3rd, Throckmorton G. Mandibular motion after closed and open treatment of unilateral mandibular condylar process fractures. J Oral Maxillofac Surg 1999;57:764-75; discussion 775-6.   DOI
23 Son JH, Ha J, Cho YC, Sung IY. Are biodegradable plates applicable in endoscope-assisted open reduction and internal fixation of mandibular subcondyle fractures? J Oral Maxillofac Surg 2017;75: 1706-15.   DOI
24 Widmark G, Bagenholm T, Kahnberg KE, Lindahl L. Open reduction of subcondylar fractures. A study of functional rehabilitation. Int J Oral Maxillofac Surg 1996;25:107-11.   DOI