Comparison of Retromandibular Transparotid Approach with Transmasseteric Anterioparotid Approach for the Surgical Management of Mandibular Subcondylar Fractures

Objective: This study aimed to assess the effectiveness of the transmasseteric anteroparotid (TMAP) approach for surgically managing mandibular subcondylar fractures and to compare its outcomes with those of the conventional retromandibular transparotid (RMTP) approach. Methodology: Sixteen cases with subcondylar fractures were treated using two different approaches. Parameters were evaluated and recorded after 1 week, 1 month, 3 months, and 6 months with the same device and settings. The parameters evaluated were facial nerve function, parotid gland-related complications (sialoceles), interincisal mouth opening assessment, and occlusal stability. Intergroup comparison between the two groups for different parameters was done using unpaired t -test. Results: Out of the 16 patients, 93.75% were male, and 7.25% were female. The assignment of groups was random, with Group A subjected to the RMTP approach, and Group B opting for the TMAP approach. Notably, there were significant differences ( P < 0.05) in facial nerve function observed when comparing Group A to Group B. Conclusion: The retromandibular TMAP approach, as outlined in this study, demonstrates significant benefits, providing increased access with fewer complications and lower morbidity compared to the RMTP approach.