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KMID : 0355620150410030149
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Journal of Korean Association of Oral and Maxillofacial Surgeons
2015 Volume.41 No. 3 p.149 ~ p.155
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Transmasseteric antero-parotid facelift approach for open reduction and internal fixation of condylar fracture
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Choi Moon-Gi
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Abstract
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Surgical approaches to the condylar fracture include intraoral, preauricular, submandibular, and retromandibular approaches. Each approach has its own advantages and disadvantages. When a patient needs esthetic results and an intraoral approach is not feasible, the transmasseteric antero-parotid facelift approach is considered. This approach permits direct exposure and allow the surgeon to fixatethe fractured unit tangentially. Tangential fixation is critical to osteosynthesis. Disadvantages of the transmasseteric antero-parotid facelift approach include damage to the facial nerve and a longer operation time. However, after the initial learning curve, facial nerve damage can be avoided and operation time may decrease. We report three cases of subcondylar fractures that were treated with a transmasseteric antero-parotid facelift approach. Among these, two cases had trivial complications that were easily overcome. Instead of dissecting through the parotid gland parenchyma, the transmasseteric antero-parotid facelift approach uses transmasseteric dissection and reduces facial nerve damage more than the retromandibular transparotid approach. The esthetic result is superior to that of other approaches.
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KEYWORD
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Transmasseteric antero-parotid facelift approach, Condylar fracture
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