scholarly journals High Submandibular Anteroparotid Approach for Open Reduction and Internal Fixation of Condylar Fracture

2021 ◽  
Vol 2021 ◽  
pp. 1-9
Author(s):  
Kamichika Hayashi ◽  
Takeshi Onda ◽  
Hirona Honda ◽  
Mitsuru Takata ◽  
Hiroyuki Matsuda ◽  
...  
Keyword(s):  
Parotid Gland ◽  
Internal Fixation ◽  
Open Reduction ◽  
Detailed Examination ◽  
Facial Artery ◽  
Condylar Fracture ◽  
Fracture Fragment ◽  
Inferior Margin ◽  
Lateral Dislocation ◽  
Condylar Fractures

Aim. There are several techniques for the treatment of mandibular condylar fractures. This is the first report of the high submandibular anteroparotid approach for open reduction and internal fixation of condylar fracture. Materials and Methods. A 41-year-old woman fell indoors and injured her face. She was referred to our department for detailed examination and treatment of a suspected mandibular fracture. X-ray and computed tomography showed a right mandibular condylar base fracture and lateral dislocation of the fracture fragment. Open reduction and internal fixation procedures were performed for a right mandibular condylar fracture under general anesthesia. The mandibular ramus was reached by approaching from the inferior margin of the mandible, delaminating the masseter fascia posteriorly, and bypassing the anterior margin of the parotid gland. Once the fractured bone was reached, reduction and fixation were performed. Results. We have achieved good results by the high submandibular anteroparotid approach, which is minimally invasive and simple, to reduce and fix condylar fractures. With this approach, no facial artery or retromandibular vein was encountered, and the mental stress for the surgeon was minimal. Postoperative wound infection, parotid gland complications such as parotitis and salivary fistula, facial nerve dysfunction such as facial paralysis, and esthetic disorders such as scarring were not observed. Conclusions. Although it is necessary to examine more cases in the future, the high submandibular anteroparotid approach may be useful as a new approach for open reduction and internal fixation of condylar fractures.

scholarly journals Intra-Articular Condylar Fractures: Is Necessary Surgical Treament?

2021 ◽  
Vol 7 (1) ◽  
pp. 10-15
Author(s):  
Giuseppe Consort ◽  
Keyword(s):  
Surgical Treatment ◽  
Conservative Treatment ◽  
Internal Fixation ◽  
Open Reduction ◽  
Trauma Surgery ◽  
Surgical Techniques ◽  
Mandibular Fracture ◽  
Condylar Fracture ◽  
Articular Fractures ◽  
Condylar Fractures

The surgical treatment of mandibular condylar fractures represents one of the most discussed topics in maxillofacial trauma surgery. Over the years the literature has documented an increasing attitude towards open reduction and internal fixation (ORIF) of these fractures. Some authors have recently increased the indications for ORIF to include intra-articular fractures, which have historically been managed conservatively1,2,3. The authors present their experience in the surgical treatment of intra-articular condylar fractures over a period of five years, from 2009 to 2014. Surgical techniques, early and delayed complica-tions, clinical and radiological outcomes and comparison with conservative treatment are discussed. Keywords: Mandibular Fracture, Condylar Fracture, Trauma.

scholarly journals Transmasseteric antero-parotid approach through modified preauricular lazy ‘S’ incision for management of mandible condylar fractures: a prospective study

2018 ◽  
Vol 1 (1) ◽  
pp. 85-89
Author(s):  
Kusuma Duda ◽  
Gaddipati R ◽  
Ramsetti S ◽  
Suvvada B
Keyword(s):  
Facial Nerve ◽  
Prospective Study ◽  
Closed Reduction ◽  
Open Reduction ◽  
Condylar Fracture ◽  
Anatomic Reduction ◽  
Operative Complications ◽  
Preauricular Approach ◽  
A Prospective Study ◽  
Condylar Fractures

To report the surgical details and results of our technique of Transmasseteric antero-parotid approach (TMAP) through modified preauricular lazy ‘S’ incision for management of mandibular condylar fractures. This was an observational analysis of 65 patients where 25 patients were treated with conventional preauricular approach, 25 patients with closed reduction and 15 patients with a mean age of 29.4 years with condylar fractures were treated by TMAP technique between September 2016 to June 2018. Aim of the study was to evaluate the proficiency of TMAP approach for open reduction and internal fixation (ORIF) of condylar fracture. The only complication which was noticed was sialocele formation and managed by drainage. TMAP is versatile since it avoids facial nerve damage as it involves identification and preservation of facial nerve and   has less chances of post-operative complications related to facial nerve injury. The accessibility achieved by this approach is fair enough to facilitate anatomic reduction and fixation of condyle.

scholarly journals The role of open reduction and internal fixation in the treatment of the intercondylar fractures of humerus

2019 ◽  
Vol 5 (5) ◽  
pp. 855
Author(s):  
Venkata Sivaram G. V. ◽  
Y. V. S. Prabhakar
Keyword(s):  
Internal Fixation ◽  
Open Reduction ◽  
Early Mobilization ◽  
Distal Humerus ◽  
Inclusion Criteria ◽  
Senior Faculty ◽  
Chevron Osteotomy ◽  
Stiff Elbow ◽  
Condylar Fractures

<p class="abstract"><strong>Background:</strong> Inter-condylar fractures represent one of the most complicated and challenging fractures in the upper extremity. The results of managing these fractures non-operatively are limited by failure to get anatomical reduction and early mobilization, which often results in painful stiff elbow and/or pseudo-arthrosis. The objective of this study was to evaluate and analyse the role of open reduction and internal fixation in inter-condylar fractures of distal humerus.</p><p class="abstract"><strong>Methods:</strong><strong> </strong>The present study was done in Malla Reddy Institute of Medical Sciences between June 2014 and June 2017. Out of 34 cases of intercondylar fractures of humerus admitted during the period, 25 patients were selected for the study that satisfied our inclusion criteria. Three patients out of those selected could not be included in the study as one had cardiac issues pre-operatively, one refused surgery and one was lost to follow up.<strong></strong></p><p class="abstract"><strong>Results:</strong> Our study included 22 patients, 14 male and 8 female patients. Their average age was 41.4 years. The fractures were classified as per the AO classification. There were B1-3, B2-1, C1-6, C2-5, C3-7 fractures. Both compound and closed fractures were included. All the patients were operated by posterior olecranon Chevron osteotomy approach by a senior faculty member. Twenty two patients who satisfied our inclusion criteria were treated, followed up and the results analyzed using Cassabaum’s scale of elbow function we had 86% of excellent to good results. Our results are comparable with other similar studies.</p><p class="abstract"><strong>Conclusions:</strong> Posterior olecranon approach was found to be of most satisfactory approach by us. It allows good exposure of the joint and the ulnar nerve.</p>

scholarly journals Transmasseteric anteroparotid approach for open reduction and internal fixation of mandibular condylar fractures

2018 ◽  
Vol 64 (4) ◽  
pp. 200-206
Author(s):  
Yosuke HARAZONO ◽  
Kazuki HASEGAWA ◽  
Keiichi HAMADA ◽  
Akiyo NORIME ◽  
Hideo MIYAMOTO
Keyword(s):  
Internal Fixation ◽  
Open Reduction ◽  
Condylar Fractures

Juvenile fracture of tillaux. A distal tibial epiphyseal fracture

1989 ◽  
Vol 79 (6) ◽  
pp. 295-299 ◽  
Author(s):  
WH Simon ◽  
R Floros ◽  
H Schoenhaus ◽  
RM Jay
Keyword(s):  
Internal Fixation ◽  
Closed Reduction ◽  
Open Reduction ◽  
Skeletal Maturity ◽  
Functional Results ◽  
Anatomical Reduction ◽  
Fracture Fragment ◽  
Reduction Techniques ◽  
Tibial Epiphysis ◽  
Tillaux Fracture

The juvenile fracture of Tillaux is a Salter-Harris type III fracture of the distal tibial epiphysis. The mechanism of injury is an external rotational force of the foot. The fracture fragment is avulsed from the anterolateral aspect of the distal tibial epiphysis by the anteroinferior tibiofibular ligament. Treatment is based on the amount of displacement after closed reduction techniques are attempted. If complete anatomical reduction cannot be obtained, the authors recommend open reduction with internal fixation. The method of internal fixation should be based on the skeletal maturity of the distal tibial epiphysis. The prognosis usually is good if anatomical reduction is performed. The most serious complication reported is pain and stiffness secondary to articular incongruity following inadequate closed reduction techniques. The case of a 14-year-old girl with a juvenile Tillaux fracture treated by open reduction with excellent functional results at 11 months follow-up was presented.

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