The use of the transparotid approach for surgical treatment of condylar XXXX - Own experience.

@entity1 @entity353 @entity174 @entity2103 @entity158
AIM: To assess the results of surgical treatment of condylar @entity174 using the transparotid approach. MATERIAL AND METHODS: The transparotid approach was used in 38 @entity1 with @entity174 . In four cases a single 2.0 plate was used, in the latter - 3D plates were used. All the @entity1 were subjected to control clinical examination including: occlusion, @entity2103 , mandibular movements, @entity158 presence, subjective assessment of the scar aesthetics and the presence of salivary fistula or salivary cyst on the first day following surgery and after 1, 3 and 6 months. Control radiography of the mandible in at least two projections was made on the first day after surgery and after 3 months. RESULTS: In 3 @entity1 a partial paresis of the facial nerve was noticed followed by a spontaneous recovery 3 months postoperatively. In 2 @entity1 acoustic effects, without @entity158 in the temporomandibular joint of the fractured side were still present 6 months postoperatively. Plate @entity174 were found in two out of four @entity1 operated on with single-plate technique. Loosening and displacement of a fixation screw occurred in 4 @entity1 ; in 3 cases it referred to a single 2.0 plate and in one, a Delta plate. Post-operation scar was accepted by all the @entity1 . CONCLUSION: The transparotid approach allows for direct visualisation of the @entity174 providing @entity353 and osteosynthesis, with a low risk of @entity2103 . Precise wound closure in layers, especially of the parotid capsule allows avoiding a salivary fistula.
