E-ISSN 2367-699X | ISSN 2367-7414
 

Original Article 


Effectiveness of Preauricular-Retroparotid and Retromandibular-Transparotid approaches in the management of displaced and dislocated condylar head and neck fractures

Priya Jeyaraj, Ashish Chakranarayan.

Abstract
Introduction: Management of fractures of the condylar head, neck and base regions can be quite tricky, owing to differences in the morphology and location of the fracture, degree & direction of displacement, extent of comminution, and position of condylar head in relation to glenoid fossa. Hence, choosing an ideal surgical approach for each individual case, is both difficult as well as important.
Aim: To assess the effectiveness of two major surgical approaches, the ‘Preauricular-Retroparotid’ and ‘Retromandibular-Transparotid’ approaches in the management of different types of displaced and dislocated condylar head and neck fractures.
Patients and Methods: This retrospective study includes 56 patients operated over a period of four years from Jan 2016 to Dec 2019, of whom 14 had bilateral and 42 had unilateral displaced condylar head or neck fractures. 22 surgeries were for condylar head or high condylar neck fractures, treated using the Preauricular-Retroparotid approach. 48 surgeries were for low condylar neck fractures, managed using the Retromandibular-Transparotid approach. Intraoperative and postoperative complications, and detailed objective, subjective and functional treatment outcome assessments, were recorded over a postoperative follow up period ranging from one to three years.
Results & Conclusion: Both surgical approaches were found effective in achieving good esthetic and functional results with no major complications, other than occasional transient neurological deficits and few instances of salivary fistulas and sialocoeles. Depending upon the level of the condylar fractures, a preauricular approach is ideal for the condylar head and high condylar neck fractures, providing direct and easy visualization to the region, for retrieval and repositioning of the medially displaced and dislocated proximal fracture fragment. The retromandibular approach is more suited for the lower level condylar neck fractures, providing a direct visual field and a wide, straight line access for implant fixation at this region.

Key words: Condylar head and neck fractures, Preauricular-Retroparotid approach, Retromandibular-Transparotid approach, Open Reduction and Internal Fixation (ORIF), Outcome assessment


 
ARTICLE TOOLS
Abstract
PDF Fulltext
How to cite this articleHow to cite this article
Citation Tools
Related Records
 Articles by Priya Jeyaraj
Articles by Ashish Chakranarayan
on Google
on Google Scholar


How to Cite this Article
Pubmed Style

Jeyaraj P, Chakranarayan A. Effectiveness of Preauricular-Retroparotid and Retromandibular-Transparotid approaches in the management of displaced and dislocated condylar head and neck fractures. Int J Surg Med. 2020; 6(6): 15-29. doi:10.5455/ijsm.2020-08-080


Web Style

Jeyaraj P, Chakranarayan A. Effectiveness of Preauricular-Retroparotid and Retromandibular-Transparotid approaches in the management of displaced and dislocated condylar head and neck fractures. http://www.ejos.org/?mno=123739 [Access: January 01, 2021]. doi:10.5455/ijsm.2020-08-080


AMA (American Medical Association) Style

Jeyaraj P, Chakranarayan A. Effectiveness of Preauricular-Retroparotid and Retromandibular-Transparotid approaches in the management of displaced and dislocated condylar head and neck fractures. Int J Surg Med. 2020; 6(6): 15-29. doi:10.5455/ijsm.2020-08-080



Vancouver/ICMJE Style

Jeyaraj P, Chakranarayan A. Effectiveness of Preauricular-Retroparotid and Retromandibular-Transparotid approaches in the management of displaced and dislocated condylar head and neck fractures. Int J Surg Med. (2020), [cited January 01, 2021]; 6(6): 15-29. doi:10.5455/ijsm.2020-08-080



Harvard Style

Jeyaraj, P. & Chakranarayan, . A. (2020) Effectiveness of Preauricular-Retroparotid and Retromandibular-Transparotid approaches in the management of displaced and dislocated condylar head and neck fractures. Int J Surg Med, 6 (6), 15-29. doi:10.5455/ijsm.2020-08-080



Turabian Style

Jeyaraj, Priya, and Ashish Chakranarayan. 2020. Effectiveness of Preauricular-Retroparotid and Retromandibular-Transparotid approaches in the management of displaced and dislocated condylar head and neck fractures. International Journal of Surgery and Medicine, 6 (6), 15-29. doi:10.5455/ijsm.2020-08-080



Chicago Style

Jeyaraj, Priya, and Ashish Chakranarayan. "Effectiveness of Preauricular-Retroparotid and Retromandibular-Transparotid approaches in the management of displaced and dislocated condylar head and neck fractures." International Journal of Surgery and Medicine 6 (2020), 15-29. doi:10.5455/ijsm.2020-08-080



MLA (The Modern Language Association) Style

Jeyaraj, Priya, and Ashish Chakranarayan. "Effectiveness of Preauricular-Retroparotid and Retromandibular-Transparotid approaches in the management of displaced and dislocated condylar head and neck fractures." International Journal of Surgery and Medicine 6.6 (2020), 15-29. Print. doi:10.5455/ijsm.2020-08-080



APA (American Psychological Association) Style

Jeyaraj, P. & Chakranarayan, . A. (2020) Effectiveness of Preauricular-Retroparotid and Retromandibular-Transparotid approaches in the management of displaced and dislocated condylar head and neck fractures. International Journal of Surgery and Medicine, 6 (6), 15-29. doi:10.5455/ijsm.2020-08-080