The retromandibular approach for treating sub-condylar fractures of mandible

Background and Objectives: Injuries to the mandible often result in mandibular condylar fractures. Various approaches have been advocated for accessing the mandibular condyle. The aim of this paper is to evaluate the results of retromandibular approach in management of Sub condylar fractures of the mandible.

Methods used: Nine patients with ten fractured mandibular condyle (eight unilateral and one bilateral) were managed with open reduction and internal fixation through retromandibular approach. All the cases were evaluated for intraoperative and post operative complications like haemorrhage, Injury to the facial nerve, infection, signs of salivary fistula, discrepancy in occlusion and function of the temporomandibular joint.

Results: None of the patient suffered from any major intraoperative or postoperative complications and all patients had good functional and aesthetical results.

Conclusion: Retromandibular approach provides a excellent and safe exposure to the sub condylar fractures of the mandible with less conspicuous facial scar.

Key words : retromandibular approach; condylar fractures

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Jan 20, 2018 | Posted by in Oral and Maxillofacial Surgery | Comments Off on The retromandibular approach for treating sub-condylar fractures of mandible
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