گزارش نتایج درمان جراحی بازشکستگی کندیلمندیبل به روش رترومندیبولار انتروپاروتید

Introduction: Condylar fractures are one of the most common fractures of the facial region. Currently there is no general agreement on surgical or nonsurgical treatment of condylar fractures. Facial nerve injury is the known as an unfavorable consequence of surgical treatments. The aim of this study was to assess the application of retromandibular transmasseteric antero-parotid approach in open reduction and internal fixation of subcondylar fractures. Case Report: In a case series study from January 2014 to February 2015, 10 patients with subcondylar fractures underwent surgical treatment with retromandibular transmasseteric antero-parotid approach in Sina Educational/Treatment Center. Follow-ups were carried out at 1- and 2-week and 3- and 6-month postoperative intervals for the assessment of range of mouth opening, occlusion, facial nerve injury, salivary gland complications, infection and the amount of visible scar remaining. At 6-month follow-up of patients there was no case of facial nerve injury. All the patients exhibited normal range of motion of the mandible. Surgical scar was inconspicuous. Conclusion: Retromandibular transmasseteric antero-parotid approach is appropriate and safe for open reduction and internal fixation of subcondylar fractures. This can be the method of choice for high and low subcondylar fractures and also coronoid and ramus fractures. Despite short surgical incision, it provides direct surgical access to the fracture area and the remaining surgical scar is indistinctive. [ABSTRACT FROM AUTHOR]