Ahmad Mahrous
Associate professor
Department of Oro-maxillofacial and Plastic surgery
El Minia university
Egypt
Title: High Cervical versus preauricular anteroparotid transmasseteric approaches for condylar fractures repair
Biography
Biography: Ahmad Mahrous
Abstract
Background: The transmasseteric approaches has been considered a well established approaches for condylar fracture repair. They may be accessed through a preauricular anteroparotid incision, a high cervical incision or a retromandibular incision. Aim: The aim of this study was to compare the high cervical transmasseteric approach and the preauricular anteroparotid one as regards the accessibility , the rate of complications and the final outcome. Patients:Twenty four patients had malocclusion due to a unilateral low subcondylar fractures either alone or associated with other fractures were classified into two groups . Group (A) included 12 patients accessed through the high cervical transmasseteric approach .The second group (B) included 12 patients accessed through the preauricular anteroparotid transmasseteric one. Results:The high cervical approach was found to have a better accessibility, a low complication rate especially those related to the facial nerve and a better outcome. Conclusion:When a transmasseteric approach is choosen to repair a fracture condyle,it is better to utilize the high cervical rather than the preauricular anteroparotid one. Keywords: Fracture condyle approaches – Transmasseteric approach – Anteroparotid approach-High cervical approach