Objective: To summarize and discuss the surgical outcome of a retromandibular transparotid approach for the treatment of condylar neck or subcondylar fractures of the mandible. Methods: 34 cases(40 sides) suffered condylar neck or subcondylar fractures were retrospectively reviewed. Surgical reduction consisted of retromandibular incision and parotid tissue approach between the branchs of facial nerve, fracture sites were reduced and fixed with two miniplates and screws.Occlusal relations, maximum mouth opening, complications, and imaging examinations were followed up to assess the postoperative results. Results: All patients with condylar fracture were gain better anatomical reposition and reliable fixation. Both sides of the condyle were symmetrical, none suffered from bone resorptions or condylar necrosis. No case had complicated with salivary fistula or Frey′s syndrome.7 sides had transient facial nerve paralysis and all recovered 5 months later. Three patients suffered with malocclusion after reduction. Conclusions: It is suggested that the retromandibular transparotid approach for condylar or subcondylar fracture reduction offers minimum invasion, safe and efficient, and less complications.
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