NCT02466269

Treatment of Diacapitular Condylar Fractures

A Modified Preauricular Approach to Treat Diacapitular Condylar Fractures: The Supratemporalis Approach

• Status: Completed
• Phase: —
• Study type: Observational
• Enrollment: 1 (actual)
• Sponsor: Hui Li · Academic / Other
• Sex: All
• Age: 4 Years – 70 Years
• Healthy volunteers: Not accepted

Summary

A new surgical approach, denoted as the supratemporalis approach, was designed to treat diacapitular condylar fractures of the mandibular condyle.This approach prevented facial nerve injury and did not increase the frequency of other complications. Therefore, the investigators suggest this surgical procedure as a routine and safe approach to diacapitular condylar fractures, which can also be applied to temporomandibular joint（TMJ）and to the zygomatic arch.

Detailed description

Eighty-four patients (112 sides) with diacapitular condylar fractures were treated surgically. Forty-four patients (64 sides) were treated with the supratemporalis approach, and forty patients (48 sides) were treated with traditional preauricular approach. Data on the surgical procedures and complications were recorded. The follow-up periods were 12 -24months. The evaluated parameters include facial nerve injury，the maximum mouth opening, mandibular movements, occlusion, scar formation，hemorrhage and infection.Seven patients sustained facial nerve paresis in the group treated with the traditional preauricular approach. No case of facial nerve injury was observed in the supratemporalis approach group. No other significant differences were detected between the two groups in the functional and esthetic aspects.

Conditions

• Mandibular Fractures

Interventions

Type	Name	Description
PROCEDURE	The supratemporalis approach	The supratemporalis approach was applied in treatment of diacapitular condylar fractures

Timeline

• Start date: 2014-08-01
• Primary completion: 2015-05-01
• Completion: 2015-05-01
• First posted: 2015-06-09
• Last updated: 2017-10-25