Basha Mohammed Salman, AlAithan Hussain, Firdoose Nyer
Oral and Maxillofacial Surgery, Aster Sanad Hospital, Riyadh, Saudi Arabia.
Oral and Maxillofacial Surgery, Al Iman General Hospital, Riyadh, Saudi Arabia.
Craniomaxillofac Trauma Reconstr. 2020 Jun;13(2):109-114. doi: 10.1177/1943387520903543. Epub 2020 Mar 20.
The fractures of the mandibular condyle are commonly encountered in maxillofacial surgical practice. The controversies to open or not to open are still ongoing. We have used both techniques, to successfully manage our patients. Open treatment of condyle fracture with or without dislocation is technically challenging. We used a "Direct Transparotid" approach in treating 13 condyle fractures over a period of 4 years. The patients were evaluated for facial nerve injury, salivary fistula, scar, function, and occlusion over a period of 12 months. There were no major complications with acceptable scar, both intraoperatively and postoperatively. The script aims at presenting our experience of direct transparotid approach surgical technique.
下颌骨髁突骨折在颌面外科手术中较为常见。关于是否进行切开手术的争议仍在持续。我们两种技术都采用过，成功治疗了患者。切开治疗有或无脱位的髁突骨折在技术上具有挑战性。我们在4年时间里采用“直接经腮腺”入路治疗了13例髁突骨折。在12个月的时间里对患者进行了面神经损伤、涎瘘、瘢痕、功能和咬合情况的评估。术中及术后均未出现严重并发症，瘢痕情况可接受。本文旨在介绍我们直接经腮腺入路手术技术的经验。
