Adarsh Kudva1, Abhay T Kamath2, Jyotsna Rajan3, Charlene D'Souza4. 1. Assistant Professor, Department of Oral and Maxillofacial Surgery, Manipal College of Dental Sciences, Manipal, Udupi, Karnataka, India. Electronic address: dradarshkudva@gmail.com. 2. Professor and Head, Department of Oral and Maxillofacial Surgery, Manipal College of Dental Sciences, Manipal, Udupi, Karnataka, India. 3. Final-Year Junior Resident, Department of Oral and Maxillofacial Surgery, Manipal College of Dental Sciences, Manipal, Udupi, Karnataka, India. 4. Second-Year Junior Resident, Department of Oral and Maxillofacial Surgery, Manipal College of Dental Sciences, Manipal, Udupi, Karnataka, India.
Abstract
PURPOSE: To describe a modified peri-angular approach to address subcondylar and condylar neck fractures. MATERIALS AND METHODS: A modified peri-angular incision is used to approach a fractured condyle through the anteroparotid transmasseteric approach. RESULTS: In the authors' experience, this method provides quick and clean exposure to the fractured condylar base and neck fractures for open reduction and internal fixation. CONCLUSION: Although the peri-angular approach has been discussed in the literature, the authors' modification lessens the chance of complications, such as marginal nerve injury and parotid fistula formation, because the nerve is visualized and kept isolated throughout.
PURPOSE: To describe a modified peri-angular approach to address subcondylar and condylar neck fractures. MATERIALS AND METHODS: A modified peri-angular incision is used to approach a fractured condyle through the anteroparotid transmasseteric approach. RESULTS: In the authors' experience, this method provides quick and clean exposure to the fractured condylar base and neck fractures for open reduction and internal fixation. CONCLUSION: Although the peri-angular approach has been discussed in the literature, the authors' modification lessens the chance of complications, such as marginal nerve injury and parotid fistula formation, because the nerve is visualized and kept isolated throughout.