Trans Parotid and Retroparotid Approach for the Management of Condylar Fracture (Case Study)

Abstarct: Treatment of fractures of the mandibular condyle fractures varies among various centres.approaches for treating condylar fracture is still a dilemma, The aim of this article is to determine the safety and efficiency of surgicaltreatment using a transparotid approach for direct plating The fractures were treated surgically with a transparotid face lift orretromandibular approach using miniplates and screws for fixation. Patients were carefully followed uped every 3 months to know their improvement success of the treatment, since treatment of fractures of the condylar neck and the subcondylar region presents some of the same problems regarding the choice of an adequate approach, since both lie under the parotid gland and facial nerve. The parotid fascia was opened just above the fracture site and by dissecting the parotid gland and masseter muscle, the fracture was directly exposed. The facial nerve itself was not dissected expressly. All fractures could be reduced accurately and fixed firmly with miniplates. A direct approach just above the fracture site provided good access to fractureto avoid facial nerve palsy caused by strong retraction. Moreover, by not dissecting the facial nerve, the operation time was shortened. This approach was useful for surgical treatment of both condylar neck and subcondylar fracture