Preauricular anteroparotid transmasseteric approach of the mandibular condyle: The natural evolution after cervical dissections? An anatomical feasibility study

• Published in: Journal of stomatology, oral and maxillofacial surgery oral and maxillofacial surgery, 2022-10, Vol.123 (5), p.e598-e603
• Main Authors: Ben Slama, Neil, Crampon, Frederic, Maquet, Charles, Derombise, Baptiste, Duparc, Fabrice, Trost, Olivier
• Format: Article
• Language: English
• Subjects: Anatomy; Condyle; Fracture; Human health and pathology; Life Sciences; Mandible; Surgery; TMAP
• ISSN: 2468-7855; 2468-7855
• DOI: 10.1016/j.jormas.2022.05.006

The purpose of this study was to evaluate the reliability and reproducibility of a novel approach for base and neck fractures of the mandible. An anatomical study was conducted on 22 given to Science subjects. A rhytidectomy-like approach was performed, followed by a transmasseteric anteroparotid dissection. Measures were taken of the incision length and bone exposure at every step. The identification of a ramus of the facial nerve during dissection was noted. The subjects were classified according to their facial adiposity. A correlation coefficient was measured between incision length and bone exposure as well as morphotype and bone exposure. Statistical analysis was carried out using the Pearson method for linear correlation, and Chi2 test for further analysis. Adequate condylar exposure was always achieved in the area of interest (i.e. in the main localization of base and neck fractures). There was no correlation between the length of the cranial cutaneous backcut and the bone exposure horizontally (p = 0.3296) or vertically (p = 0.8382). There was no correlation between the total length of the incision and the bone exposure horizontally (p = 0.5171) or vertically (p = 0.8404). There was a significant correlation between the subjects’ facial adiposity and the bone exposure horizontally and vertically (p