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Turkish Journal of Medical Sciences

Author ORCID Identifier

CENK DEMİRDOVER', 'DEMİRDÖVER: 0000-0001-8387-5096

ALPER GEYİK: 0000-0002-5447-1591

DOI

10.55730/1300-0144.5887

Abstract

Background/aim: This study evaluates anatomical reduction and rigid internal fixation of mandibular condyle fractures using the preauricular retroparotid approach. It also, discusses advantages, deficiencies, and associated complications of the technique.Materials and methods: This retrospective study reviewed the medical records of a total of 52 mandibular condyle fractures, from 42 patients, who treated with open surgical approach using the preauricular retroparotid approach between January 2019 and 2024. Preoperative and postoperative assessments included measurements of mouth opening (maximum interincisal distance), vertical mandibular movement and facial paralysis. Moreover, the Vancouver Scar Scale (VSS) was used to evaluate scar quality at the surgical site. Descriptive statistics were used to summarize patient demographics, preoperative findings, and postoperative outcomes.Results: Anterior open bite was the most common finding, detected in 83% of the patients before surgery. The mean mouth opening of the patients increased significantly, from 29 ± 4.94 mm to 37.76 ± 2.12 mm. Vertical mandibular movement exceeding 4 cm was a finding in more than half (52.3%) of the patients. The mean VSS score, indicating scar quality, was 1.64 ± 0.70, suggesting overall good cosmetic outcomes. Plate breakage in two patients was noted as a complication during the follow-up.Conclusion: Several surgical techniques have been described for mandibular condyle fractures, each with its own benefits and limitations.

Keywords

complications, fracture fixation internal, mandibular condyle, mandibular fractures, Maxillofacial surgery

First Page

1082

Last Page

1091

Creative Commons License

Creative Commons Attribution 4.0 International License
This work is licensed under a Creative Commons Attribution 4.0 International License.

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