Advanced Model of a 4-Step Chart for Percutaneous Approaches to Condylar Fractures: A Tool to Comprehend Trends in Classification Based on the Dissection Route

In the application of percutaneous approaches for mandibular condyle fractures, facial nerve injury (FNI) has been the most troubling aspect associated with surgical repair.1 The conventional classification of these approaches according to the incision site does not reflect the risk of FNI owing to diverse dissection routes via a similar incision,2 which have confused surgeons and residents who intend to minimize the morbidity.3 Equivocal examples in the treatment of condylar neck and subcondylar fractures include approaches via retromandibular incisions (transparotid, retroparotid, and transmasseteric anteroparotid [TMAP] approaches), as well as those via submandibular incisions (traditional submandibular [Risdon] and high perimandibular [high cervical TMAP] approaches).
Source: Journal of Oral and Maxillofacial Surgery - Category: ENT & OMF Authors: Tags: Perspective Source Type: research