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Complications of the retromandibular transparotid approach for low condylar neck and subcondylar fractures: a retrospective study

Jeroen Van Hevele|Erik Nout
대한구강악안면외과학회 (Korean Association Of Oral And Maxillofacial Surgeons)|2018.04|대한구강악안면외과학회지 (Journal of the Korean Association of Oral and Maxillofacial Surgeons)|제44권 제2호|pp. 73-78

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참고문헌

키워드

Mandibular fracturesOpen fracture reductionParotid glandMaxillofacial surgery
주제분류치의학

초록

Objectives: The goal of this study was to evaluate the rates of complications, morbidity, and safety with the transparotid approach. Materials and Methods: A retrospective study was conducted and consisted of 53 surgically treated patients in the past five years for low condylarneck and subcondylar fractures. Only patients with malocclusion and who underwent open reduction with internal fixation with the retromandibulartransparotid approach were included. The examined parameters were postoperative suboptimal occlusion, deflection, saliva fistula, and facial nerveweakness. Results: Fifty-three patients had an open reduction with internal fixation on 55 sides (41 males, 77.4%; mean age, 42 years [range, 18-72 years]). Fourpatients (7.5%) experienced transient facial nerve weakness of the marginal mandibular branch, but none was permanent. Four patients had a salivaryfistula, and 5 patients showed postoperative malocclusion, where one needed repeat surgery after one year. One patient showed long-term deflection. No other complications were observed. Conclusion: The retromandibular transparotid approach is a safe procedure for open reduction and internal fixation of low condylar neck and subcondylarfractures, and it has minimal complications.

Abstract

Objectives: The goal of this study was to evaluate the rates of complications, morbidity, and safety with the transparotid approach. Materials and Methods: A retrospective study was conducted and consisted of 53 surgically treated patients in the past five years for low condylarneck and subcondylar fractures. Only patients with malocclusion and who underwent open reduction with internal fixation with the retromandibulartransparotid approach were included. The examined parameters were postoperative suboptimal occlusion, deflection, saliva fistula, and facial nerveweakness. Results: Fifty-three patients had an open reduction with internal fixation on 55 sides (41 males, 77.4%; mean age, 42 years [range, 18-72 years]). Fourpatients (7.5%) experienced transient facial nerve weakness of the marginal mandibular branch, but none was permanent. Four patients had a salivaryfistula, and 5 patients showed postoperative malocclusion, where one needed repeat surgery after one year. One patient showed long-term deflection. No other complications were observed. Conclusion: The retromandibular transparotid approach is a safe procedure for open reduction and internal fixation of low condylar neck and subcondylarfractures, and it has minimal complications.

참고문헌 (24)

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