Modified tragus edge incision and transmasseteric anteroparotid approach to condyle reconstruction.
10.7518/hxkq.2023.2022496
- Author:
Hui TANG
1
;
Lang WANG
1
;
Lei WANG
1
;
Pengcheng RAO
1
;
Daowen LUO
1
;
Guangxin FU
1
;
Jingang XIAO
1
Author Information
1. Dept. of Oral and Ma-xillofacial Surgery, The Affiliated Stomatological Hospital of Southwest Medical University, Luzhou 646000, China.
- Publication Type:Journal Article
- Keywords:
condylar reconstruction;
costochondral graft;
facial nerve injury;
incision scar;
modified tragus edge incision;
parotid salivary fistula;
transmasseteric anteroparotid approach
- MeSH:
Male;
Female;
Humans;
Mandibular Condyle/surgery*;
Cicatrix/surgery*;
Fracture Fixation, Internal/methods*;
Mandibular Fractures/surgery*;
Oral Surgical Procedures/methods*;
Treatment Outcome
- From:
West China Journal of Stomatology
2023;41(3):290-296
- CountryChina
- Language:English
-
Abstract:
OBJECTIVES:This study aimed to analyze the application value of a modified tragus edge incision and transmasseteric anteroparotid approach to condyle reconstruction.
METHODS:Condyle reconstruction was performed in 16 patients (9 females and 7 males) with modified tragus edge incision and transmasseteric anteroparotid approach. After regular follow-up, the function of condyle reconstruction was evaluated by clinical indicators, such as parotid salivary fistula, facial nerve function, mouth opening, occlusal relationship, and facial scar. The morphology of rib graft rib cartilage was evaluated by imaging indicators, such as panoramic radiography, CT, and three-dimensional CT image reconstruction.
RESULTS:At 6-36 months postoperative follow-up, all patients had good recovery of facial appearance, concealed incisional scar, no parotid salivary fistula, good mouth opening, and occlusion. One case had temporary facial paralysis and recovered after treatment. Radiographic evaluation further showed that costochondral graft survived in normal anatomic locations.
CONCLUSIONS:The modified tragus edge incision and transmasseteric anteroparotid approach can effectively reduce parotid salivary fistula and facial nerve injury in condylar reconstruction. The surgical field was clearly exposed, and the incision scar was concealed without increasing the incidence of other complications. Thus, this approach is worthy of clinical promotion.
