Journal of the Korean Association of Oral and Maxillofacial Surgeons

The Korean Association of Oral and Maxillofacial Surgeons (대한구강악안면외과학회)
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Modified high-submandibular appraoch for open reduction and internal fixation of condylar fracture: case series report

  • Lee, Sung-Jae (Department of Oral and Maxillofacial Surgery, Korea University Anam Hospital) ;
  • Chun, Young-Joon (Department of Oral and Maxillofacial Surgery, Korea University Anam Hospital) ;
  • Lee, Seung-Jun (Department of Oral and Maxillofacial Surgery, Korea University Anam Hospital) ;
  • Jun, Sang-Ho (Department of Oral and Maxillofacial Surgery, Korea University Anam Hospital) ;
  • Song, In-Seok (Department of Oral and Maxillofacial Surgery, Korea University Anam Hospital)
  • Received : 2022.09.06
  • Accepted : 2022.10.07
  • Published : 2022.10.31
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Abstract

Objectives: Recently a modified high-submandibular approach (HSMA) has been introduced for treatment of condylar fracture. This approach involves an incision line close to the mandibular angle and transmasseteric transection, leading to a low incidence of facial palsy and allowing good visualization of the condyle area, especially the condylar neck and subcondyle positions. This study reports several cases managed with this modified HSMA technique for treating condylar fractures. Materials and Methods: Six cases of condylar fractures treated with modified HSMA technique were reviewed. Results: Three unilateral subcondylar fracture, 1 bilateral subcondylar fracture, 1 unilateral condylar neck fracture, 1 unlateral simultaneous condylar neck and subcondylar fracture cases were reviewed. All the cases were successfully treated without any major complication. Conclusion: Reduction, fixation, and osteosynthesis of condylar fractures via the modified HSMA technique enabled effective and stable treatment outcomes. Therefore, the described approach can be used especially for subcondylar and condylar neck fractures with minimal complications.

Keywords

Acknowledgement

This research was supported by a Korea Medical Device Development Fund grant funded by the Korean government (Ministry of Science and ICT; Ministry of Trade, Industry, and Energy; Ministry of Health & Welfare, Ministry of Food and Drug Safety) (project No. RS-2021-KD000009).

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