Abstract Issue

Volume 13 Issue 4 (April) 2024

Original Articles

Comparision Of Preauricular Approach With Retromandibular Approach In Management Of Sub- Condylar Fracture: A Retrospective Study
Tauseef Ahmed Khan, Geeta Mishra Tripathi, Saleha Tabassum

Background: The management of mandibular condylar process is a subject of ongoing debate among clinicians. There is a controversy surrounding the choice between surgical and conservative treatments. For accurate anatomical reduction of the fracture the preferred method is open reduction and internal fixation (ORIF) for fractured mandibular condyles. Aim: The aim of the study is to compare the two extraoral approaches to the TMJ namely preauricular and retromandibular approach in management of subcondylar fractures of mandible. Materials and Methods: This was a retrospective study included 62 surgically treated patients with mandible subcondylar fractures. For treatment of the fractured condylar segments, the preauricular and retromandibular (anterior parotid-transmasseteric) approach was used. Results: In our study, both approaches allowed excellent access and visibility to the subcondylar fractures, but each had its own limitations. We encountered minimal complications during and after surgery with both methods. Dental occlusion was restored in all the cases, and good anatomical reduction was achieved. Conclusion: Both approaches effectively manage subcondylar fractures. The retromandibular approach is generally preferred for its ease of access and fixation, except in cases requiring the preauricular approach, such as antero-medial or complete medial dislocations of condylar segment.

 
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