Page 91 - Open versus closed Mandibular condyle fractures

Table 2. Continued
Authors
Iizuka Iizuka Lima Petzel Raveh Sargent Spinzia Widmark Zrounba
Chaithanyaa Chaudhary Choi Cortelazzi Derfoufi Eckelt Eckelt Hachem Kallela Meyer Petzel
Rai Rallis
Seemann Singh Sugiura Xie Zhang
Incision
Pre-auricular-temporal
Submandibular or retromandibular
Pre-auricular or retromandibular
Subangular
Pre-auricular-temporal
ND
Retromandibular or pre-auricular
Submandibular
High submandibular approach or pre- auricular approach
Retromandibular Retromandibular
NCD
Pre-auricular or retromandibular ND
Peri-angular
Peri-angular
Peri-angular
Submandibular
High submandibular
Peri-angular
Submandibular
Submandibular approach, pre-auricular or combination
Pre-auricular
Retromandibular
Pre-auricular or submandibular Pre-auricular
Retromandibular
Parotid approach
ND
ND
Pre-auricular: NCD, retro.: Trans Not
ND
ND
Not
Not
ND
ND
ND
Trans
Pre-auricular ND, retro trans ND
Not Not ND ND ND Not ND ND
ND ND ND NCD Trans
Open treatment of condylar fractures: extraoral approaches
ND, not described; NCD, not clearly described
Outcome measures
Table 3a and 3b show an overview of complications. Of the 2,783 patients who were studied with respect to facial nerve function, 328 (11.8%) experienced some form of weakness. In most of these cases - 311 (95%) - full recovery was achieved within a period of 1 week to more than 6 months. In 17 cases (5%), 0.6% of the total group of patients, the paralyses were permanent; 9 (52.9%) of these occurred after a peri-angular approach, 2 (11.8%) after a pre-auricular approach, 1 (5.9%) after a submandibular approach, 3 (17.6%) after a retromandibular approach, and in 2 cases (11.8%) the approach after which permanent facial nerve damage was noted was not described.
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