Approaches for Open Reduction and Internal Fixation of Mandibular Condylar Fracture

A Comparative Study Between the Retromandibular Transparotid Approach and Retromandibular Retroparotid Approach for Open Reduction and Internal Fixation of Mandibular Condylar Fracture.

Status

Not yet recruiting

Phases

Study type

Interventional

Source

ClinicalTrials.gov

Registry ID

NCT06333197

Enrollment

Registered

2024-03-27

Start date

2024-08-01

Completion date

2025-07-01

Last updated

2024-07-30

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Mandibular Fractures

Keywords

Mandibular Condylar fracture, Approaches for mandibular fractures, Transparotid, Retromandibular, Comparative study, Retroparotid

Brief summary

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).

Detailed description

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.

Interventions

PROCEDUREORIF through transparotid approach

The Retromandibular Transparotid approach is a surgical method used to access structures in the parotid gland region by making an incision behind the mandible.

PROCEDUREORIF through retroparotid approach

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.

Study design

Allocation

RANDOMIZED

Intervention model

PARALLEL

Primary purpose

TREATMENT

Masking

NONE

Intervention model description

ALL Patients diagnosed with Extra Capsular Fracture of Mandibular Condyle amenable for surgery.

Eligibility

Sex/Gender

ALL

Healthy volunteers

Yes

Inclusion criteria

* ALL Patients diagnosed with Extra Capsular Fracture of Mandibular Condyle amenable for surgery.

Exclusion criteria

* 1\. Open Laceration in the condylar region. 2. Concomitant traumatic Facial Nerve injury. 3. Previous Surgery in Retromandibular region. 4. Severe Obese patients 5. Patients Refusing Surgery.

Design outcomes

Primary

Measure	Time frame	Description
Facial nerve injury	Up to 6 months	Incidence of Facial Nerve Injury Following the Manoeuvre. ( Temporary or Permanent )
Operative time	Up to 3 hours	The duration of the operation

Secondary

Measure	Time frame	Description
Fracture stability	Up to 3 Months	Measure the status of bone after reduction
Mouth opening	Up to 3 Months	Maximal inter incisor opening
Other Complication related to the Approach	Up to 6 Months	Salivary Fistula, Sialocele, Freys Syndrome

Contacts

Primary ContactMustafa Mahmoud Hussien

Urfavdash@gmail.com+201015750092

Backup ContactDiaa El-dein Saber, PHD degree

diaasaber@aun.edu.eg+201007967946

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026