Scholarlink

Background <p>Fractures of the mandibular condyle process are the most common fractures of the lower jaw. Unfortunately, the type of treatment is still a matter of debate.</p> Aim <p>To compare the facial nerve deficit followed by different approaches for open reduction and internal fixation.</p> Methodology <p>It is an institutional study. Patients aged 16 to 60&#xa0;years, having condylar fractures reported to KIMS hospital Bhubaneswar, Odisha. Thirty-four samples in 29 patients with 5 approaches have been discussed here that includes pre-auricular approach, retromandibular transparotid transmasseteric approach, retromandibular anterior parotid approach, submandibular approach, and periangular approach.</p> Results <p>The majority of facial nerve injuries after surgical treatment of condylar fractures by the retromandibular transparotid approach are transient in nature. Group 3 has a statistically significant <i>p</i> value (&lt; 0.0001), which suggests a meaningful difference in dysfunction levels within this group.</p> Conclusion <p>The facial nerve deficit that has developed due to retraction of it tends to resolve within 3–6&#xa0;months. The supplementation of thiamine, riboflavin, cyanocobalamin, prednisolone and physiotherapy, etc., has been advised to the patient.</p>

错误：搜索内容不能为空，请输入英文关键词
错误：关键词超出字数限制，请精简
高级检索

Facial Nerve Deficit Following Open Reduction and Internal Fixation of Condyle

  • 期刊论文

  • 发表日期：

    2025年7月24日

查看全文
  • Gayatri Moharana,
  • Rajat Mohanty

摘要

Background

Fractures of the mandibular condyle process are the most common fractures of the lower jaw. Unfortunately, the type of treatment is still a matter of debate.

Aim

To compare the facial nerve deficit followed by different approaches for open reduction and internal fixation.

Methodology

It is an institutional study. Patients aged 16 to 60 years, having condylar fractures reported to KIMS hospital Bhubaneswar, Odisha. Thirty-four samples in 29 patients with 5 approaches have been discussed here that includes pre-auricular approach, retromandibular transparotid transmasseteric approach, retromandibular anterior parotid approach, submandibular approach, and periangular approach.

Results

The majority of facial nerve injuries after surgical treatment of condylar fractures by the retromandibular transparotid approach are transient in nature. Group 3 has a statistically significant p value (< 0.0001), which suggests a meaningful difference in dysfunction levels within this group.

Conclusion

The facial nerve deficit that has developed due to retraction of it tends to resolve within 3–6 months. The supplementation of thiamine, riboflavin, cyanocobalamin, prednisolone and physiotherapy, etc., has been advised to the patient.