This paper introduces a high perimandibular approach for open reduction and internal fixation (ORIF) of condylar fractures and describes its clinical usefulness. This technique is a via-masseter approach to the condylar region via a skin incision along with the inferior outline of the mandible. It was reported that this technique has a lower risk of facial nerve disturbance and provides good accessibility to the fracture site. Eleven patients with 11 condylar fractures underwent ORIF by the present approach. Correct ORIF with good accessibility was achieved in all patients, and no facial nerve disturbance occurred. Moreover, all patients were satisfied with the appearance of their surgical scars and recovered to a normal range of mouth opening.
In conclusion, ORIF of condylar fractures using a high perimandibular approach seems to be a safe and predictable technique that provides excellent clinical results.
