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ITALIAN JOURNAL OF MAXILLOFACIAL SURGERY
A Journal on Maxillofacial Surgery
Official Journal of the Italian Society of Maxillofacial Surgery
Rivista Italiana di Chirurgia Maxillo-Facciale 2004 August-December;15(2-3):65-8
Surgical approach to mandibular condyle fractures: retro-mandibular access
Friscia M. 1, De Maria G. 1, Mangone G. M. 2, Romano A. 1, Califano L. 1
1 Department of Maxillofacial Surgery School of Medicine and Surgery “Federico II” University of Naples. Naples, Italy
2 Department of Maxillofacial Surgery AORN A. Cardarelli, Naples, Italy
Aim. Treatment of condylar fractures is always an actual challenge for maxillofacial surgeons, in fact there is a continue discussion on how to treat them. In this study we describe the retromandibular approach as access to high and low subcondilar fractures with dislocation of the distal fragment, an easy way to harvest and give good exposition of the fractures.
Methods. In a 24 months period starting from march 2002, 14 patients affected by condilar fractures were treated at the Department of Maxillofacial Surgery of the University of Naples “Federico II”, all of them underwent surgical treatment with retromandibular approach for the reduction and contention of the condilar fractures by titanium plates and screw.
Results. At the consecutive follow up, all the patients had a complete rehabilitation from a functional and esthetical point of view.
Conclusion. We suggest the use of this surgical approach associate by rigid fixation with titanium plates for condilar fractures because of its technical characteristic and the results obtained: good function, good aesthetic and few complications.