The condylar region is the most frequent anatomical site for mandibular fractures . Condylar fractures constitute 25.5% to 35.5% of all mandibular fractures. The mandibular condyle fracture is a type of fracture that affects the condyle, which is the knuckle-like projection of the mandible (lower jaw) that articulates with the temporal bone to form the temporomandibular joint (TMJ).
Several approaches have been used for condylar fracture including intraoral, preauricular, submandibular and retromandibular approaches. The selection of the appropriate surgical approach for condylar neck fracture represents a controversy. The purpose of this Study is to Compare the outcomes and effectiveness between the retromandibular transparotid approach and retromandibular retroparotid approach for treatment of Condylar Fracture of Mandible.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
30
The Retromandibular Transparotid approach is a surgical method used to access structures in the parotid gland region by making an incision behind the mandible.
The Retromandibular Retroparotid approach, also known as the Modified Blair Incision, is a surgical technique used to access structures within the parotid gland region by creating an incision behind the mandible and extending it into the parotid region.
Facial nerve injury
Incidence of Facial Nerve Injury Following the Manoeuvre. ( Temporary or Permanent )
Time frame: Up to 6 months
Operative time
The duration of the operation
Time frame: Up to 3 hours
Fracture stability
Measure the status of bone after reduction
Time frame: Up to 3 Months
Mouth opening
Maximal inter incisor opening
Time frame: Up to 3 Months
Other Complication related to the Approach
Salivary Fistula, Sialocele, Freys Syndrome
Time frame: Up to 6 Months
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