A Modified Peri-Angular Approach for Exposure of Condylar Fractures

Abstract

To describe a modified peri-angular approach to address subcondylar and condylar neck fractures. A modified peri-angular incision is used to approach a fractured condyle through the anteroparotid transmasseteric approach. In the authors' experience, this method provides quick and clean exposure to the fractured condylar base and neck fractures for open reduction and internal fixation. Although the peri-angular approach has been discussed in the literature, the authors' modification lessens the chance of complications, such as marginal nerve injury and parotid fistula formation, because the nerve is visualized and kept isolated throughout.