|
KMID : 0353320130370020067
|
|
Oral Biology Research
2013 Volume.37 No. 2 p.67 ~ p.72
|
|
|
Retromandibular approach in the surgical treatment of condylar fractures
|
|
Oh Ji-Su
Kim Su-Gwan
You Jae-Seek
Kim Ji-Won
Kim Eun-Sik
|
|
|
Abstract
|
|
|
|
The purpose of the present study was to review the retromandibular approach for surgical treatment of condylar fractures.Indications, advantages and disadvantages, surgical anatomy, complications, and various modifications of the retromandibular approach for treatment of condylar fractures were investigated through an article review. The retromandibular approach is useful when endoscopic-assisted intraoral open reduction or internal fixation is not possible due to the fracture site or degree of displacement. The retromandibular approach also permits direct exposure of the ramus since it is closer and does not cause remarkable scars. Complications related to the retromandibular approach include facial nerve injury, sialocele, salivary fistula, scar, and preauricular hypoesthesia. However, the morbidity of complications is low compared to other extraoral approaches. There are various modifications of the retromandibular approach such as the anteroparotid transmasseteric approach, the retroparotid approach, the mini-retromandibular approach, which minimizes potential injury to facial nerves and salivary complications, as well as the transparotid approach. The retromandibular approach provides good access with low morbidity. Open reduction and internal fixation of condylar fractures using the retromandibular approach is a recommended procedure
|
|
|
KEYWORD
|
|
|
Facial nerve, Mandibular fractures, Mandibular condyle, Internal fixation
|
|
|
FullTexts / Linksout information
|
|
|
|
|
Listed journal information
|
|
|
|