Background: This study introduces a new surgical approach for open reduction and internal fixation of mandibular condyle fractures using a modified transparotid approach via the parotid incision, and surgical outcomes are evaluated.
Methods: The modified transparotid approach via the parotid incision was applied and rigid internal fixation using a small titanium plate was carried out for 36 mandibular condyle fractures in 31 cases. Patients were followed up for 3 months after surgery and outcomes were analyzed by evaluating the degree of mouth opening, occlusal relationship, facial nerve function and results of imaging studies.
Results: The occlusal relationship was excellent in all patients and there were no symptoms in any patient due to facial nerve injury. The mean degree of mouth opening was 4.0 (maximum 4.8 cm, minimum 3.0 cm). No mandibular deviations were noted in any patient during mouth opening. CT showed complete anatomical reduction of the mandibular condyle fracture in all patients.
Conclusion: The modified transparotid approach via the smaller, easily concealed parotid incision is minimally invasive and achieves anatomical reduction and rigid internal fixation with a simplified procedure that directly exposes the fracture site, shortens the operative path, protects the facial nerve and produces a satisfactory aesthetic outcome.