Comparison of Preauricular Approach Versus Retromandibular Approach in Management of Condylar Fractures

Mohan, A. P.; Kumar, K. Narayan; Venkatesh, V.; Kumar, B. Pavan; Patil, Kapil

doi:10.1007/s12663-012-0350-1

Cited by 27 publications

(21 citation statements)

References 9 publications

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“…Among modifications of this approach, Al-Kayat and Bramley (1979) modifications (13) have been very popular and are the most widely used at present. These modifications help to protect the facial nerve branches and provide good access to the condylar process, but the extremely limited area of ramal exposure makes the plate fixation technically difficult (15).…”

Section: Discussionmentioning

confidence: 99%

“…To gain good surgical visi-bility, the large distance between the incision line and the fixation level often requires heavy and continuous retraction of tissues, which can lead to facial nerve injury and tissue damage (13). The choice of the incision approach for the management of TMJ ankylosis is important to reduce post-operative complications (15). Therefore, the present study aimed to clinically compare between the conventional and modified preauricular incision approaches to the management of TMJ ankylosis among patients in Sana'a city -Yemen, regarding the accessibility, visibility, operation time, nerve complications, intra-and post-operative bleeding and aesthetic result.…”

Section: Introductionmentioning

confidence: 99%

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Conventional versus Modified Preauricular Incision Approaches to the Management of Temporomandibular Joint Ankylosis in Sana’a City, Yemen: A Comparative Clinical Study

Al-Hudaid

Hussien

Al-Wesabi

et al. 2017

YJMS

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Objective: To compare between the conventional and modified preauricular incision approaches to the management of temporomandibular joint (TMJ) ankylosis among Yemeni patients in Sana'a city, Yemen. Methods:This comparative clinical study recruited ten patients (7 males and 3 females; age range: 6-35 years) with true fully or partially bony or fibrous TMJ ankylosis. These patients were admitted to and followed up in the University of Science and Technology Hospital in Sana'a in the period from May 2013 to February 2016. Five patients with condylar capsule ankylosis were subjected to the conventional preauricular approach, while the other five cases with ankylosis that extends beyond the condylar capsule and reaches the zygomatic arch were subjected to the modified preauricular approach. Both approaches were evaluated and compared for the time required, intra-and post-operative complications and aesthetic results. Results:The mean times required to carry out the operations were 4.45 and 3.20 hours for conventional and modified preauricular approaches, respectively.Facial nerve injury was present in two patients undergoing the conventional preauricular approach, but this reversed to normal after four to five months. Patient of both groups experienced no facial paralysis or post-operative auriculotemporal syndrome. Intra-operative bleeding was mild to moderate among the patients of both approaches, and none of the patients required blood transfusion intra-or post-operatively. Major blood vessels were injured in three cases undergoing the conventional preauricular approach. All patients subjected to both approaches showed satisfactory aesthetic end results. Conclusions:Conventional and modified preauricular approaches provide excellent accessibility and visibi lity of the surgical field during the management of TMJ ankylosis among Yemeni patients, with the latter being slightly superior. In addition, the modified preauricular approach is associated with fewer complications, absence of facial nerve injury and reduced surgical time compared to the conventional approach.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Conventional versus Modified Preauricular Incision Approaches to the Management of Temporomandibular Joint Ankylosis in Sana’a City, Yemen: A Comparative Clinical Study

Al-Hudaid

Hussien

Al-Wesabi

et al. 2017

YJMS

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“…Some authors introduce additional rules for the selection of appropriate surgical approach; e.g. the direction of the displacement of fractures, as mentioned by Mohan et al who use preauricular approach in patients with fractures with the medial displacement, while the retromandibular approach in patients with lateral displacement [73].…”

Section: The Choice Of Surgical Approach For the Open Treatment Of Comentioning

confidence: 99%

Aktualne poglądy na temat leczenia złamań wyrostka kłykciowego żuchwy

Sikora

Olszowski

Chlubek

2018

Pomeranian J of Life Sci

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The aim of this review was to present and discuss current views on the treatment of condylar fractures (CFs). The authors addressed the following issues: the etiology, epidemiology and mechanisms of CFs; strategies and methods for the treatment of CFs. Moreover, the choice of surgical approach for the open treatment of CFs as well as techniques and materials used for fixation of CF are discussed.The PubMed database was used to search for relevant articles published between 2000 and 2018. The analysis referred to both original and review papers (including meta-analyses) that concerned adult patients. There are still differences in opinions among researchers regarding the choice of appropriate treatment – closed or open. There is no consensus among open treatment supporters in choosing the right surgical approach. The important question is which material to choose for osteosynthesis of the condylar fracture.Recent studies show satisfactory results in terms of stability of condylar osteosynthesis with the use of 3D plates. Further discussion is required on the choice of material for fixation of the condylar fracture and, in particular, on the possibility of using resorbable materials.

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“…Because of this early return to function, the chances for ankylosis is greatly reduced. Due to all these reasons and advantages there is an increase in the interest among majority of the surgeons to manage condylar fracture by ORIF [11].…”

Section: Post Operative Scarmentioning

confidence: 99%

Mini - Retromandibular Approach for Open Reduction and Internal Fixation of Condylar Fractures by Delta Plates: An Exploratory Study.

Shetty¹

2017

IJAR

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Background:The main objective of our study is to evaluate the new delta condylar plate for condylar fracture with mini retromandibular approach. Materials and methods: 20 patients with displaced condylar fracture were treated with delta condylar plate using mini retromandibular approach. Patients were evaluated on the basis of pre op and post op parameters and X-rays. Patients were followed for 18 months. Results: In 20 patients, there was high male predominance (75%) to female (25%). The mean mouth opening is 44.85mm (40-50mm). The duration of surgery varied from minimum of 40 min to maximum of 65 min (mean= 52.95 min ). In this study excellent access was achieved in 14 cases (70%), access was good in 5 cases (25%) & fair in 1 case (5%). Post operative complications like infection at surgical site (25%) is in 5 cases &sialocele (15%) in 3 case. We didn't encounter any facial nerve palsy. All 20 patients (100%) had inconspicuous scar which was well camouflaged. Conclusion:The mini retromandibular approach is easy and fast to perform and carries low risk of damaging the facial nerve while leaving a barely noticeable scar . Delta shaped plate for condylar fractures aids in neutralization of changing strains and the plate can be easily place at the constricted condylar neck region. We concluded that surgical treatment of the fractured, displaced condyle using the mini retromandibular approach for anatomic reduction using delta condylar plates is excellent.

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Comparison of Preauricular Approach Versus Retromandibular Approach in Management of Condylar Fractures

Cited by 27 publications

References 9 publications

Conventional versus Modified Preauricular Incision Approaches to the Management of Temporomandibular Joint Ankylosis in Sana’a City, Yemen: A Comparative Clinical Study

Conventional versus Modified Preauricular Incision Approaches to the Management of Temporomandibular Joint Ankylosis in Sana’a City, Yemen: A Comparative Clinical Study

Aktualne poglądy na temat leczenia złamań wyrostka kłykciowego żuchwy

Mini - Retromandibular Approach for Open Reduction and Internal Fixation of Condylar Fractures by Delta Plates: An Exploratory Study.

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