Abstract
We have evaluated the transmasseteric anterior parotid (TMAP) approach in the treatment
of 163 condylar fractures in 129 patients. Ninety-five patients presented with unilateral,
and 34 with bilateral, fractures. The inclusion criteria were patient's choice for
open reduction and internal fixation, displaced unilateral condylar fractures with
occlusal derangement, and displaced bilateral condylar fractures with anterior open
bite. Mean (SD) maximum interincisal opening after 3 months was 44 (5) mm. There were no differences in lateral movements during the reviews 6 weeks and
3 months postoperatively. Protrusive movement at the end of 3 months was 7 (2) mm. All patients achieved functional occlusion identical to the pretraumatic occlusion
and good reduction of the condyles. No patient developed temporary or permanent facial
palsy, sialocele, salivary fistula, or Frey syndrome. The mean (SD) operating time
was 46 (11) min. The TMAP approach avoids the complications of incision of the parotid gland,
minimises the risk of facial nerve palsy, and offers excellent access to the fractured
condyle.
Keywords
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Article info
Publication history
Published online: October 10, 2011
Accepted:
September 7,
2011
Identification
Copyright
© 2011 The British Association of Oral and Maxillofacial Surgeons. Published by Elsevier Inc. All rights reserved.
