Retromandibular approach in the management of condylar fractures by open reduction and internal fixation a prospective study.

ABSTRACT

AIM: To evaluate the efficacy and safety of the retromandibular approach in the management of condylar fractures by open reduction and internal fixation (ORIF). MATERIALS AND METHODS: A total of 20 patients with unilateral mandibular condylar fractures underwent ORIF using retromandibular approach. Pertinent data were collected and subjected to evaluation. RESULTS: The retromandibular approach was found to be expeditious in adequately exposing the fracture site and enabling ORIF. The anatomic reduction of the fractured segments and the fixation was satisfactory in all the cases. Average duration of surgery was 39 min (range 17-56 min) for satisfactory exposure, reduction, and fixation of each condylar fracture. CONCLUSION: The retromandibular approach provides adequate exposure of the subcondylar region and should be considered as commendable alternative in the management of condylar fractures.