Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Cairo University,Egypt
DOI:10.21608/omx.2020.49709.1096
Abstract
Purpose: Comparing the transparotid approach versus the transmasseteric antroparotid approach in management of condylar neck fractures regarding the facial nerve affection, TMJ function, reduction angulation, duration of the surgery and patient satisfaction with the scar. Materials and Methods: Twenty patients with condylar neck fracture were randomly divided into two equal groups. Retromandibular transparotid approach was used in the control group while transmasseteric antroparotid approach was used in the study group. Patients were carefully followed up 6 months. Results: There was significant difference between the two groups regarding the incision time (P-value 0.001) however there was no significant difference between the two groups regarding the total intra-operative time (P-value 0.123) .Immediate postoperative facial nerve affection was higher in the transparotid approach group (30%) however 6 months postoperative total recovery occurred and both groups showed no statistically significant difference. The transparotid approach group showed more patient satisfaction toward the scar with mean scale 4.2 ± 0.6 versus 3.9 ± 0.6 for transmasseteric approach group however there was no statistically significant difference between the two groups. 90% of patients in transmasseteric approach group showed reduction to the normal anatomical position versus 70% in the transparotid group but there was no statistically significant difference between both groups. Comparable results showed between the two groups regarding the TMJ function with no statistically significant difference. Conclusion: The transmasseteric antroparotid approach showed to be a useful alternative to the transparotid approach in treating condylar neck fractures with very good accessibility and low complication rate.
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