How to improve retromandibular transmasseteric anteroparotid approach for mandibular condylar fractures: our clinical experience

被引:25
作者
Salgarelli, A. C. [1 ]
Anesi, A. [1 ]
Bellini, P. [1 ]
Pollastri, G. [1 ]
Tanza, D. [1 ]
Barberini, S. [1 ]
Chiarini, L. [1 ]
机构
[1] Univ Modena & Reggio Emilia, Dept Head & Neck Surg, Unit Maxillofacial Surg, I-41124 Modena, Italy
关键词
condylar fractures; open reduction and internal fixation; transmasseteric anteroparotid approach; OPEN REDUCTION; INTERNAL-FIXATION;
D O I
10.1016/j.ijom.2012.12.012
中图分类号
R78 [口腔科学];
学科分类号
1003 ;
摘要
Fractures of the mandibular condyle are common and account for 25-35% of all mandibular fractures reported in the literature. Even with the development of a consensus on the preference for open reduction and internal fixation of these fractures, the clinician is still faced with a dilemma concerning the optimal approach to the ramus condyle unit. Limited access and injury to the facial nerve are the most common problems. The most commonly used extraoral approaches are the submandibular, retromandibular and preauricular methods. In this study, we propose a modified cosmetic preauricular incision with a short end in the neck, to improve the transmasseteric anteroparotid (TMAP) approach previously described by Wilson et al. in 2005. We retrospectively analysed 13 patients treated in our department for mandibular condylar fractures. Post-operative complications, occlusal status, interincisal opening and joint tenderness were evaluated at 3 months after surgery. The wider skin incision described here provides a convenient approach for open reduction and rigid internal fixation, and good results were obtained. The follow-up ranged from 6 to 40 months.
引用
收藏
页码:464 / 469
页数:6
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