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, Daniel Dalla; Burtscher, Doris; Widmann, Gerlig; Pichler, A; Rasse, Michael; Puelacher, Wolfgang

doi:10.1016/j.jcms.2015.04.019

Cited by 33 publications

(17 citation statements)

References 27 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Although various surgical approach to the condylar base fractures have been reported, 18 the authors performed the Innsbruck-style retromandibular anterior trans-parotid approach and a triangular-positioned double mini-plate osteosynthesis technique reported by Torre et al in this particular case. 10,11 Early recovery is possible with this approach as it is minimally invasive. This technique provides direct visualization of the condyle with a small incision (approximately 25 mm) and has lower incidence of facial palsy.…”

Section: Discussionmentioning

confidence: 99%

“…No patient had occlusal disturbances or complications regarding the parotid gland or the osteosynthesis 6 months postoperatively. 10 In conclusion, to achieve early return-to-play, the authors managed mandibular condylar fracture of a professional goal keeper based on Fowell and Earls' return-toplay guidelines following facial fractures. 13 The patient was able to return to normal team training with normal weight 4 weeks after surgery.…”

Section: Discussionmentioning

confidence: 99%

“…Simple tooth ligation with a wire was performed between the left lower central incisor and the first premolar for left para-symphysis fracture (Figure 2). The patient was admitted to the hospital, and an internal fixation using Innsbruck style retromandibular anterior trans-parotid approach with a 25-mm skin incision immediately below the earlobe 10,11 and intraoral mandibular vestibular approach were performed under general anesthesia 2 days after injury. Eight internal maxillomandibular fixation (IMF) screws were placed on the bilateral maxilla and mandible to perform temporary IMF during osteosynthesis, and the fracture of condyle and symphysis were fixed by using 2 four-hole mini-plates and screws on the ideal lines of the osteosynthesis (Figures 3 to 6).…”

Section: Case Reportmentioning

confidence: 99%

See 2 more Smart Citations

Mandibular Condylar Fracture in a Professional Soccer Goalkeeper: How to Achieve Early Return-to-Play—A Case Report

Sasaki

Tominaga

Okamoto

2021

Craniomaxillofacial Trauma & Reconstruction Open

View full text Add to dashboard Cite

Sport-related mandibular fracture is a common injury in the field of maxillofacial surgery. However, the treatment of mandibular condylar fractures in professional soccer goalkeepers is rarely reported. A 32-year-old male professional soccer goalkeeper was referred for malocclusion after collision with an opponent player during a game. The patient’s mandible was displaced between the left lower lateral incisor and left lower canine. Computed tomography showed right condylar base fracture with medial displacement and left para-symphysis fracture. Internal fixation using retromandibular anterior trans-parotid approach via 25-mm skin incision immediately below the earlobe and intraoral vestibular approach were performed under general anesthesia 2 days after the injury. The patient was discharged without complications 3 days after surgery, with mandibular protrusion and diduction exercises with limitation of mouth opening. Soft diet and limitation of mouth opening was performed for 4 weeks after surgery. To achieve early return-to-play, rehabilitation based on Fowell and Earls’ return-to-play guidelines following facial fractures was started, with moderate exercise 5 days after surgery, and progressively full exercise without contact 8 days after surgery. He started normal team training with individualized jaw-guard 4 weeks after surgery. His body weight decreased by 2.2 Kg 1 week after surgery, gradually recovered, and became normal 4 weeks after surgery. The patient returned to a game 2 months after surgery. This case report can be a reference case in condylar fractures of professional soccer players, as the available scientific literature is limited with regard to return-to-play after maxillofacial fracture in professional athletes.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Case Reportmentioning

confidence: 99%

See 1 more Smart Citation

Mandibular Condylar Fracture in a Professional Soccer Goalkeeper: How to Achieve Early Return-to-Play—A Case Report

Sasaki

Tominaga

Okamoto

2021

Craniomaxillofacial Trauma & Reconstruction Open

View full text Add to dashboard Cite

show abstract

“…Levetiracetam, second-generation anti-epileptic drug was started by intravenous administration for epilepsy. An internal fixation using retromandibular anterior trans-parotid approach 2 and mandibular vestibular approach were performed under general anesthesia. The fracture of condyle and symphysis were fixed by 2 mini-plates on ideal lines of the osteosynthesis, and a lag screw was added to close approximately 1.0 mm gap of the fracture line on the inferior of the fixed mini-plates in symphysis fracture.…”

Section: Case Reportmentioning

confidence: 99%

Refracture of the Mandibular Condyle in Epilepsy

Sasaki

Miyamoto

Tominaga

et al. 2020

Craniomaxillofacial Trauma & Reconstruction Open

View full text Add to dashboard Cite

Refracture of the mandible following stable internal fixation would be rare. A 28-years-old male patient was transferred to our emergency center due to fall caused by epilepsy seizure. Computed tomography (CT) showed left condylar base fracture with medial displacement and dislocation, and symphysis fracture. The fracture of condyle and symphysis were performed osteosynthesis with 2 mini-plates on ideal lines of osteosynthesis. The proximal segment of the condyle was placed totally three 7-mm-screws and 2 mini-plates. Six days after surgery, the patient transferred to our emergency center again due to fall by epileptic seizure. The patient drunk a lot of alcohol on the day before. CT indicated that left side fracture of condylar neck with medial displacement above the fixation plates, and no fracture of symphysis. The fracture line run on upper screw of posterior plate. The proximal segment of condyle could not be repositioned in the secondary surgery. The epilepsy patient following mandibular fracture might cause further epilepsy seizures. The risk factors of recurrence seizures should be evaluated including alcohol intake, less sleep and a history of noncompliance to anti-epileptic drugs.

show abstract

“…[ 14 ] However, extraoral approaches including pre-auricular, retromandibular, submandibular are associated with a risk of surgical complications such as, sialocele or salivary fistulas, visible scars, and facial nerve damage or palsy (typically temporary), which may make surgeons hesitant to perform ORIF. [ 15 16 ]…”

Section: Introductionmentioning

confidence: 99%

The retromandibular transparotid approach for reduction and internal fixation of mandibular condylar fractures

Felix

Singh

2020

Ann Maxillofac Surg

View full text Add to dashboard Cite

Introduction: The retromandibular transparotid approach is most useful for condylar and subcondylar fractures and provides the best access to the joint and ascending ramus. The study aims at evaluating the ease of access and outcomes encountered on using the retromandibular transparotid approach to access the fracture site for the open reduction and internal fixation (ORIF) of condylar and sub-condylar fractures. Materials and Methods: An observational clinical study was carried out among 10 patients with unilateral and bilateral condylar fracture requiring ORIF. Maximal interincisal mouth opening, facial swelling, occlusal discrepancy, facial nerve injury, scar formation, and acceptability and complications including wound dehiscence, infection, and sialocele/salivary fistula were assessed and measured preoperatively and postoperatively. Results: There was a notable improvement in mouth opening and facial nerve weakness. Postoperative intermaxillary fixation was done with selective patients who had a discrepancy in their occlusion. Preoperatively, swelling was present in four patients (40%) out of 10 patients studied. There was no incidence of sialocele/salivary fistula in any of the cases studied. Conclusion: Retromandibular transparotid incision is technique sensitive and thorough knowledge about the retromandibular area is must for good results and minimal morbidity. The cosmetic results are good in this approach, as well as the facial nerve injury were less in this without any permanent damages.

show abstract

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

Cited by 33 publications

References 27 publications

Mandibular Condylar Fracture in a Professional Soccer Goalkeeper: How to Achieve Early Return-to-Play—A Case Report

Mandibular Condylar Fracture in a Professional Soccer Goalkeeper: How to Achieve Early Return-to-Play—A Case Report

Refracture of the Mandibular Condyle in Epilepsy

The retromandibular transparotid approach for reduction and internal fixation of mandibular condylar fractures

Contact Info

Product

Resources

About