A Modified Periangular Approach for Exposure of Condylar Fractures

Publication date: Available online 12 January 2018
Source:Journal of Oral and Maxillofacial Surgery
Author(s): Adarsh Kudva, Abhay T. Kamath, Jyotsna Rajan, Charlene D'souza
ObjectiveTo describe a modified periangular approach to address subcondylar and condylar neck fractures.MethodA modified periangular incision is used to approach a fractured condyle via anteroparotid transmasseteric approach.ResultThis method provided a quick and clean exposure to fractured condylar base and neck fractures for open reduction and internal fixation, as per the authors' experience.DiscussionAlthough periangular approach has been discussed in literature, this modification as per authors' experience reduces the chance of occurrence of complications such as marginal nerve injury and parotid fistula formation, as the nerve is visualised and kept isolated throughout.



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