Retromandibular approach to the mandibular condyle: a clinical and cadaveric study

Manisalı, Mehmet; Amin, Mike; Aghabeigi, B.; Newman, Laurence

doi:10.1054/ijom.2002.0270

Cited by 122 publications

(79 citation statements)

References 19 publications

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“…The buccal branch was encountered in 4 cases, the zygomatic branch in one case and the marginal mandibular branch in one case. MANISALI et al reported that the branches of the facial nerve were encountered in 30% of the cases 14 . In a cadaveric study, using 30 facial halves (15 fresh cadavers), branches of the facial nerve were encountered in 12 dissections (40%) 14 .…”

Section: Discussionmentioning

confidence: 98%

Retromandibular approach for reduction and fixation of mandibular condylar fractures: A clinical experience

Narayanan

Kannan

Sreekumar

2009

International Journal of Oral and Maxillofacial Surgery

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Section: Discussionmentioning

confidence: 98%

Retromandibular approach for reduction and fixation of mandibular condylar fractures: A clinical experience

Narayanan

Kannan

Sreekumar

2009

International Journal of Oral and Maxillofacial Surgery

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“…Manisali et al [21] in their study noticed temporary weakness of the facial nerve in 30%, and Ellis et al [16] in 17.2% of the cases but this resolved in all cases within 3 months and there were no cases of permanent nerve injury. Delvin et al [20] also recorded transient facial nerve weakness affecting the marginal mandibular branch in 7.1% of their cases however Hyde et al [2] in their study found all patients with normally functioning facial nerve at 1-month review.…”

Section: Discussionmentioning

confidence: 90%

Management of Mandibular Sub Condylar and Condylar Fractures Using Retromandibular Approach and Assessment of Associated Surgical Complications

Bindra

Choudhary

Sharma

et al. 2010

J. Maxillofac. Oral Surg.

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“…Transient facial nerve weakness was seen in two patients, which resolved within 3 months postoperatively. Manisali et al [22], Ellis et al [21] and Delvin et al [31] also recorded transient facial nerve weakness postoperatively. Hyde et al [32] observed no weakness of facial nerve in any of the patients in their study.…”

Section: Discussionmentioning

confidence: 96%

“…Extraoral approaches simplify the management of condylar fractures but are still associated with some unresolved issues. Many of the extraoral approaches can become technically demanding and present definite risks of facial nerve injury and unpleasant scarring [19][20][21][22][23]. Open reduction and rigid fixation allows good anatomic repositioning, restoration of the ramal length, avoidance of long term sequelae like clicking and late arthritic changes and an earlier return to normal function without the need for inter maxillary fixation [24,25].…”

Section: Introductionmentioning

confidence: 99%

Evaluation of Retro Mandibular Approach to Open Reduction and Internal Fixation of Condylar Fractures: A Cross-sectional Study

Rao

Gehlot

Siwach

2013

J. Maxillofac. Oral Surg.

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Purpose The present study was carried out to evaluate the usefulness of mini retromandibular approach on accessibility, scarring and stability in open reduction and internal fixation of sub condylar fractures. Materials and MethodsFifteen patients underwent open reduction and rigid fixation of middle and low subcondylar fractures, with mini-retro mandibular approach.Results No signs of infection were observed in any patient postoperatively. Surgical scar was imperceptible and esthetically acceptable in all the cases. Out of 15 patients, only one patient had discrepancy in occlusion and after 2 months satisfactory centric occlusion was achieved. Salivary fistula (parotid fistula) was observed in 3 cases within 1 week postoperatively, which was treated spontaneously with the use of hypertonic saline. Transient facial nerve weakness was observed in 2 patients, in one patient it resolved in 4 weeks postoperatively and in second patient 3 months postoperatively. Mouth opening increased in all the patients with time. Average mouth opening at 1 week interval was 19.6 mm, at 2 months interval 28.2 mm, and after 6 months 38.33 mm suggesting that mouth opening gradually increased with time. At the end of 2 months postoperatively none of the patients had any restriction in lateral movements. At 2 months postoperatively 4 patients had deviation but none of the patients had any deviation 6 months postoperatively. Conclusion It is evident from the results of our study that open reduction and internal fixation using mini-retromandibular approach is good treatment option in management of mandibular condylar fractures.

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Retromandibular approach to the mandibular condyle: a clinical and cadaveric study

Cited by 122 publications

References 19 publications

Retromandibular approach for reduction and fixation of mandibular condylar fractures: A clinical experience

Retromandibular approach for reduction and fixation of mandibular condylar fractures: A clinical experience

Management of Mandibular Sub Condylar and Condylar Fractures Using Retromandibular Approach and Assessment of Associated Surgical Complications

Evaluation of Retro Mandibular Approach to Open Reduction and Internal Fixation of Condylar Fractures: A Cross-sectional Study

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