The document discusses a study evaluating the safety and effectiveness of using a retromandibular transparotid surgical approach combined with rigid internal fixation using two locking miniplates for treating displaced mandibular condylar neck fractures. The study involved 19 patients with this type of fracture. The results showed that this technique achieved accurate anatomical reduction of the condylar segments and immediate functional recovery in all patients, with no major permanent complications. There were two temporary cases of facial nerve palsy that resolved within 3 months. Surgical scars were minimally visible. The study concluded this is a safe and minimally invasive technique that provides reliable clinical outcomes for these types of fractures.
The document discusses a study evaluating the safety and effectiveness of using a retromandibular transparotid surgical approach combined with rigid internal fixation using two locking miniplates for treating displaced mandibular condylar neck fractures. The study involved 19 patients with this type of fracture. The results showed that this technique achieved accurate anatomical reduction of the condylar segments and immediate functional recovery in all patients, with no major permanent complications. There were two temporary cases of facial nerve palsy that resolved within 3 months. Surgical scars were minimally visible. The study concluded this is a safe and minimally invasive technique that provides reliable clinical outcomes for these types of fractures.
The document discusses a study evaluating the safety and effectiveness of using a retromandibular transparotid surgical approach combined with rigid internal fixation using two locking miniplates for treating displaced mandibular condylar neck fractures. The study involved 19 patients with this type of fracture. The results showed that this technique achieved accurate anatomical reduction of the condylar segments and immediate functional recovery in all patients, with no major permanent complications. There were two temporary cases of facial nerve palsy that resolved within 3 months. Surgical scars were minimally visible. The study concluded this is a safe and minimally invasive technique that provides reliable clinical outcomes for these types of fractures.
fixation using two locking miniplates in mandibular condylar neck fractures test We evaluated the safety, efficacy, and morbidity associated with the treatment of displaced mandibular condylar neck fractures using a retromandibular transparotid approach to reduce and rigidly fix using two 2.0-mm locking miniplates. Our surgical inclusion criteria were: patient selection of open reduction and fixation, displaced unilateral condylar fractures with derangement of occlusion, and bilateral condylar fractures with an anterior open bite. The study group consisted of 19 patients who underwent surgery for 19 mandibular condylar neck fractures; patients were analyzed prospectively, with more than 6 months of follow-up, and were evaluated in terms of functional results, scar formation, postoperative complications, and stability of fixation. The results showed that functional occlusion identical to the preoperative condition and correct anatomical reduction of the condylar segments in centric occlusion, followed by immediate functional recovery, was achieved in all patients. No patient suffered from any major or permanent complication postoperatively, although there were two cases (11%) of temporary facial nerve palsy, which resolved completely within 3 months. Surgical scars were barely visible. The retromandibular transparotid approach with open reduction and rigid internal fixation for displaced condylar neck fractures of the mandible is a feasible and safe, minimally invasive surgical technique that provides reliable clinical results.
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