Is the Retromandibular Transparotid Approach a Reliable Option for the Surgical Treatment of Condylar Fractures?
OBJECTIVE
This study evaluated the outcomes and complications of the surgical treatment of condylar fractures by the retromandibular transparotid approach. The authors hypothesized that such an approach would be safe and reliable for the treatment of most condylar fractures.


METHODS
A retrospective evaluation of patients who underwent surgical reduction of a condylar fracture from January 2012 to December 2014 at the Clinic of Dentistry and Maxillofacial Surgery of the University Hospital of Verona (Verona, Italy) was performed. Inclusion criteria were having undergone surgical treatment of condylar fractures with a retromandibular transparotid approach and the availability of computed tomograms of the preoperative and postoperative facial skeleton with a minimum follow-up of 1 year. Static and dynamic occlusal function, temporomandibular joint health status, presence of neurologic impairments, and esthetic outcomes were evaluated in all patients.


RESULTS
The sample was composed of 25 patients. Preinjury occlusion and temporomandibular joint health were restored in most patients. Esthetic outcomes were deemed satisfactory by clinicians and patients. Neither permanent neurologic impairments nor major postoperative complications were observed.


CONCLUSIONS
According to the results of the present study, the retromandibular transparotid approach is a viable and safe approach for the surgical treatment of condylar fractures.
Associate Professor, Unit of Maxillofacial Surgery and Dentistry, University of Verona, Verona, Italy.
Antonio
A
D'Agostino
Associate Professor, Unit of Maxillofacial Surgery and Dentistry, University of Verona, Verona, Italy.
Lorenzo
L
Trevisiol
Assistant Professor, Unit of Maxillofacial Surgery and Dentistry, University of Verona, Verona, Italy.
Pasquale
P
Procacci
Clinical Assistant, Unit of Maxillofacial Surgery and Dentistry, University of Verona, Verona, Italy. Electronic address: Vittorio_favero@yahoo.it.
Vittorio
V
Favero
Assistant, Unit of Maxillofacial Surgery and Dentistry, University of Verona, Verona, Italy.
Silvia
S
Odorizzi
Professor and Chief, Unit of Maxillofacial Surgery and Dentistry, University of Verona, Verona, Italy.
Pier Francesco
PF
Nocini
D000293:Adolescent; D000328:Adult; D000368:Aged; D005260:Female; D006801:Humans; D008297:Male; D008335:Mandibular Condyle / Q000000981:diagnostic imaging / Q000293:injuries* / Q000601:surgery; D008337:Mandibular Fractures / Q000000981:diagnostic imaging / Q000601:surgery*; D008875:Middle Aged; D012189:Retrospective Studies; D014057:Tomography, X-Ray Computed; D055815:Young Adult