How to improve retromandibular transmasseteric anteroparotid approach for mandibular condylar fractures: our clinical experience

Salgarelli, Attilio Carlo; Anesi, Alexandre; Bellini, Pierantonio; Pollastri, Giuseppe; Tanza, D.; Barberini, Sara; Chiarini, Luigi

doi:10.1016/j.ijom.2012.12.012

Cited by 37 publications

(18 citation statements)

References 16 publications

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“…A temporary facial palsy as a possible complication has been described in 9%e20% of all treated patients (Girotto et al, 2012;Yang et al, 2012;Salgarelli et al, 2013;Bhutia and Kumar, 2014;Kanno et al, 2014). In the presented analysis using the retromandibular anterior transparotid (RAT) approach, 3.9% of all patients had a transient facial palsy, which resolved after a maximum of 12 weeks in all cases.…”

Section: Discussionmentioning

confidence: 89%

Surgical treatment of mandibular condyle fractures using the retromandibular anterior transparotid approach and a triangular-positioned double miniplate osteosynthesis technique: A clinical and radiological evaluation of 124 fractures

Torre

Burtscher

Widmann

et al. 2015

Journal of Cranio-Maxillofacial Surgery

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Section: Discussionmentioning

confidence: 89%

Surgical treatment of mandibular condyle fractures using the retromandibular anterior transparotid approach and a triangular-positioned double miniplate osteosynthesis technique: A clinical and radiological evaluation of 124 fractures

Torre

Burtscher

Widmann

et al. 2015

Journal of Cranio-Maxillofacial Surgery

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“…The length of cut in the retromandibular approach may vary. The cut is guided by the jaw edge under the earlobe (Eckelt and Loukota, 2010), and the incision can be extended pre-auricularly (Wilson et al, 2005;Salgarelli et al, 2013) or to the posterior auricular region (Choi, 2015). The authors have only utilised the retromandibular acces for TMAP as published by Biglioli and Colletti (2008).…”

Section: Discussionmentioning

confidence: 99%

“…Rozeboom et al (2018) presented a review of the risk of sialocoele as 2.33% and salivary fistula as 4.3% when using external access, these risks being mainly associated with the trans-parotid approach. For the antero-parotid trans-masseteric approach, this complication is referred to as zero by a series of authors (Wilson et al, 2005;Trost et al, 2009;Narayanan et al, 2012;Leiser et al, 2013;Salgarelli et al, 2013), as access by careful preparation occurs superficially to the glandular capsule. However, even during this preparation, the integrity of the capsule may be compromised.…”

Section: Discussionmentioning

confidence: 99%

Evaluation of Complications Following a Trans-masseteric Antero-parotid Approach for Patients with Sub-condylar Fractures of Their Temporomandibular Joint. A Retrospective Study

et al. 2019

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Sub-condylar fractures of the temporomandibular joint can be treated by an extraoral or intraoral approach. Trans-masseteric antero-parotid approach (TMAP) is an extraoral approach utilising a retromandibular incision. The authors evaluated patients’ status and any complications of using TMAP from the years 2013–2017. There were 39 patients (44 fractures). When using TMAP, in 43 fractures the fragments were favourably positioned, in one case the position was compromised. Of the complications, postoperative palsy of the facial nerve was reported 6.8% – in all cases this was only temporary. Late occlusion had an equal number of complications (in 2 cases this was as a result of an infectious complication of the wound, and in 2 cases due to resorption of the proximal fragment). Muscular pain and dysfunction of the temporomandibular joint following trauma were observed consistently in 6.8% of patients. Sialocoele, a non-conforming scar, and infectious complications were observed in 4.5% of patients. TMAP allows rapid surgical performance, with a good view for perfect repositioning and fixation of fragments of sub-condylar fractures of the temporomandibular joint. The complications associated with this approach are, for the most part, temporary, the aesthetic handicap of a scar is considered by patients to be acceptable. Overall, it is possible to evaluate retromandibular TMAP as safe, and the authors recommended it for treatment of sub-condylar fractures of the mandible.

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“…Such access does not allow the surgeon to work perpendicular to the fracture line, which limits the rigid fixation and makes the procedure more uncomfortable [17].…”

Section: Discussionmentioning

confidence: 99%

High mandibular ramus fracture – endoscopy treatment: a case report in adult Fernanda

Tiboni¹,

Scariot²,

Gebert³

et al. 2017

RSBO

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Introduction: Fractures of the mandibular condylar region are very common, but treatment is controversial; the same fracture can be treatment by either conservative treatment or surgery. When surgery is chosen, the search for the best surgical access also has many doubts. The options for open surgical accesses are: pre-auricular, submandibular, and retromandibular. For intraoral access (similar to sagittal osteotomy of the ramus), the aid of endoscopy, an image equipment, enables the perpendicular visualization of the fracture. Case report: In this clinical case, the authors describe a high mandibular ramus fracture in which the intraoral approach was used associated with endoscopy for the reduction and fixation of the fracture. Conclusion: Success of the radiographic and clinical outcome could be observed by the anatomical reduction of the fracutre and the solution of the patient's requests.

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How to improve retromandibular transmasseteric anteroparotid approach for mandibular condylar fractures: our clinical experience

Cited by 37 publications

References 16 publications

Surgical treatment of mandibular condyle fractures using the retromandibular anterior transparotid approach and a triangular-positioned double miniplate osteosynthesis technique: A clinical and radiological evaluation of 124 fractures

Surgical treatment of mandibular condyle fractures using the retromandibular anterior transparotid approach and a triangular-positioned double miniplate osteosynthesis technique: A clinical and radiological evaluation of 124 fractures

Evaluation of Complications Following a Trans-masseteric Antero-parotid Approach for Patients with Sub-condylar Fractures of Their Temporomandibular Joint. A Retrospective Study

High mandibular ramus fracture – endoscopy treatment: a case report in adult Fernanda

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