Preauricolar Transparotid Approaches in Bilateral Extracondilar Mandibular Fractures

Preauricular transparotid approach gives the surgeon a direct orthogonal view of an extracapsular condyle fracture. The correct surgical technique allows for safe facial nerve preservation. The use of 3D lambda, delta, or trapezoid plates matches the advantages of a stable fixation with minimum traction. Pay attention to a watertight parotid fascia closure to prevent salivary fistulas. Reference 1. Vesnaver A, Gorjanc M, Eberlinc A, Dovšak DA, Kansky AA. The periauricular transparotid approach for open reduction and internal fixation of condylar fractures. J Cranio-Maxillofacial Surg. 2005;33(3):169-179. doi:10.1016/j.jcms.2005.01.008 2. Sikora M, Olszowski T, Sielski M, Stąpor A, Janiszewska-Olszowska J, Chlubek D. The use of the transparotid approach for surgical treatment of condylar fractures - Own experience. J Cranio-Maxillofacial Surg. 2015;43(10):1961-1965. doi:10.1016/j.jcms.2015.10.001 3. Handschel J, Rüggeberg T, Depprich R, et al. Comparison of various approaches for the treatment of fractures of the mandibular condylar process. J Cranio-Maxillofacial Surg. 2012;40(8):e397-e401. doi:10.1016/j.jcms.2012.02.012