Approaches for Open Reduction and Internal Fixation of Mandibular Condylar Fracture

Assiut University

Status: Not yet enrolling

Conditions: Mandibular Fractures

Treatments: Procedure: ORIF through retroparotid approach; Procedure: ORIF through transparotid approach

Study type: Interventional

Funder types: Other

Identifiers

NCT06333197

Mandibular condylar fracture

Details and patient eligibility

About

The condylar region is the most frequent anatomical site for mandibular fractures .

Condylar fractures constitute 25.5% to 35.5% of all mandibular fractures. The mandibular condyle fracture is a type of fracture that affects the condyle, which is the knuckle-like projection of the mandible (lower jaw) that articulates with the temporal bone to form the temporomandibular joint (TMJ).

Full description

Several approaches have been used for condylar fracture including intraoral, preauricular, submandibular and retromandibular approaches.

The selection of the appropriate surgical approach for condylar neck fracture represents a controversy.

The purpose of this Study is to Compare the outcomes and effectiveness between the retromandibular transparotid approach and retromandibular retroparotid approach for treatment of Condylar Fracture of Mandible.

Enrollment: 30 estimated patients

Sex: All

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• ALL Patients diagnosed with Extra Capsular Fracture of Mandibular Condyle amenable for surgery.

Exclusion criteria

• 1. Open Laceration in the condylar region. 2. Concomitant traumatic Facial Nerve injury. 3. Previous Surgery in Retromandibular region. 4. Severe Obese patients 5. Patients Refusing Surgery.

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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30 participants in 2 patient groups

transparotid approch

Experimental group

Description:

Patients who diagnosed with extra capsular fracture of mandibular condyle will undergo Retromandibular transparotid approch

Treatment:

Procedure: ORIF through transparotid approach

Retroparotid approch

Experimental group

Description:

Patients who diagnosed with extra capsular fracture of mandibular condyle will undergo Retromandibular retroparotid approch

Treatment:

Procedure: ORIF through retroparotid approach