[A trans-parotid approach to the osteosynthesis of fractures of the mandibular condyle. A study apropos of 30 cases].
The authors report a homogeneous series of 30 cases with fractures of the mandibular condyles treated by internal fixation with a mini-plaque via the transparotidial route. The patient were treated between 1987 and 1992, with a minimum follow-up of one year. The transparotidial route has the reputation of being dangerous because of the proximity of the facial nerve and the poor vascular supply to the condyle. It is described in detail. Indications are exclusively extra-articular fractures. Complications were observed although no definitive facial nerve paralysis was seen. The authors conclude that the best indications are subcondylian fractures with or without luxation. In cases with luxation, it is important to verify the menisco-ligament system simultaneously. The authors emphasize the complementary nature of this treatment with the functional method.
Jallut
Y
Y
Service de Chirurgie Maxillo-Faciale et Chirurgie Plastique et Réparatrice, CH Henri Duffaut, Avignon.
Tort
C
C
Aldegheri
A
A
Perrand
M
M
Silbert
I
I
Mourali
K
K
D000293:Adolescent; D000328:Adult; D001860:Bone Plates; D004867:Equipment Design; D005158:Facial Paralysis / Q000209:etiology; D005260:Female; D005500:Follow-Up Studies; D005593:Fracture Fixation, Internal / Q000009:adverse effects / Q000295:instrumentation / Q000379:methods*; D006801:Humans; D004204:Joint Dislocations / Q000473:pathology / Q000601:surgery; D008297:Male; D008310:Malocclusion / Q000209:etiology; D008334:Mandible / Q000502:physiology; D008335:Mandibular Condyle / Q000293:injuries* / Q000473:pathology; D008337:Mandibular Fractures / Q000145:classification / Q000601:surgery*; D008409:Mastication / Q000502:physiology; D008875:Middle Aged; D010306:Parotid Gland; D013704:Temporomandibular Joint / Q000502:physiology; D013705:Temporomandibular Joint Disorders / Q000209:etiology
L'ostéosynthèse par voie transparotidienne des fractures du condyle mandibulaire. Etude à propos de 30 cas.