Assessment of the versatility of the retromandibular approach in the management of subcondylar fractures: a clinical study

Assessment of the versatility of the retromandibular approach in the management of subcondylar fractures: a clinical study

Author: 
Dr. Mohammed Israr Ul Khaliq, Dr. Syed Wakeel and Dr. Ajaz A. Shah
Abstract: 

Aim: This study was carried out to assess the versatility of the retromandibular approach in the management of subcondylar fractures. This study also assessed the morbidity of the retromandibular approach in the management of condylar fractures. Materials and Methods: Twenty patients treated with open reduction and internal fixation of their condylar fractures using this technique. Results: Retromandinular vein was encountered in one case.Branches of the facial nerve were encountered in five cases (25%). Temporary weakness of the facial nerve occurred in five patients. One patient developed a parotid fistula that resolved with use of hypertonic saline solution.The literature regarding facial nerve morbidity in relation to the management of condylar fractures is reviewed. Conclusion: In conclusion, when open reduction and internal fixation of a condylar neck fracture is indicated, the retromandibular approach provides good access with low morbidity.

Paper No: 
1385