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KMID : 0362720170550100696
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Journal of the Korean Dental Association
2017 Volume.55 No. 10 p.696 ~ p.705
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Retromandibular approach for the management of subcondylar fractures, followed by treatment of parotid gland fistulae: Case report
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Ro Jae-Chan
Kim Ju-Won
Yang Byeong-Eon
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Abstract
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Condylar fractures account for one-third of all mandibular fractures. There are many surgical methods for the open reduction of condylar fractures, such as the transoral, submandibular, preauricular, and retromandibular approaches. Two patients suffering from condylar fractures, a 45-year-old man and a 25-year-old man, were admitted to our hospital. Both patients’ condylar fractures were positioned too high for us to use the transoral approach. Therefore, we employed the retromandibular method to expedite the approach to the fracture site and minimize the size of the incision. After the surgical procedures in both cases, we experienced complications in the form of parotid gland fistulae, which rarely result from the retromandibular approach. A combination of botulinum toxin injection and amitriptyline medication was effective for the management of these parotid gland fistulae. Here, we report these two cases and offer a review of the literature on this article.
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KEYWORD
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Subcondylar fracture, Retromandibular approach, Parotid fistula, Botulinum toxin, Amitriptyline
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