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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).
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.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| transparotid approch | Experimental | Patients who diagnosed with extra capsular fracture of mandibular condyle will undergo Retromandibular transparotid approch |
|
| Retroparotid approch | Experimental | Patients who diagnosed with extra capsular fracture of mandibular condyle will undergo Retromandibular retroparotid approch |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| ORIF through transparotid approach | Procedure | The Retromandibular Transparotid approach is a surgical method used to access structures in the parotid gland region by making an incision behind the mandible. |
| Measure | Description | Time Frame |
|---|---|---|
| Facial nerve injury | Incidence of Facial Nerve Injury Following the Manoeuvre. ( Temporary or Permanent ) | Up to 6 months |
| Operative time | The duration of the operation | Up to 3 hours |
| Measure | Description | Time Frame |
|---|---|---|
| Fracture stability | Measure the status of bone after reduction | Up to 3 Months |
| Mouth opening | Maximal inter incisor opening | Up to 3 Months |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Mustafa Mahmoud Hussien | Contact | +201015750092 | +201140308095 | Urfavdash@gmail.com |
| Diaa El-dein Saber, PHD degree | Contact | +201007967946 | diaasaber@aun.edu.eg |
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| ID | Term |
|---|---|
| D008337 | Mandibular Fractures |
| ID | Term |
|---|---|
| D007572 | Jaw Fractures |
| D008446 | Maxillofacial Injuries |
| D005151 | Facial Injuries |
| D006259 | Craniocerebral Trauma |
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ALL Patients diagnosed with Extra Capsular Fracture of Mandibular Condyle amenable for surgery.
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| ORIF through retroparotid approach | Procedure | The Retromandibular Retroparotid approach, also known as the Modified Blair Incision, is a surgical technique used to access structures within the parotid gland region by creating an incision behind the mandible and extending it into the parotid region. |
|
|
| Other Complication related to the Approach | Salivary Fistula, Sialocele, Freys Syndrome | Up to 6 Months |
| D020196 |
| Trauma, Nervous System |
| D009422 | Nervous System Diseases |
| D012887 | Skull Fractures |
| D050723 | Fractures, Bone |
| D014947 | Wounds and Injuries |