{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,3]],"date-time":"2026-08-03T20:58:00Z","timestamp":1785790680995,"version":"3.56.0"},"reference-count":29,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2020,11,29]],"date-time":"2020-11-29T00:00:00Z","timestamp":1606608000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Dental Traumatology"],"published-print":{"date-parts":[[2021,4]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Introduction<\/jats:title><jats:p>The retromandibular transparotid approach provides the shortest and the most direct access to mandibular sub\u2010condylar fractures. However, this approach is less preferred due to the fear of facial nerve injury. The aim of this study was to evaluate the safety and morbidity of the retromandibular transparotid approach for open reduction and internal fixation of sub\u2010condylar mandibular fractures.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A retrospective cohort study of 29 patients with 35 sub\u2010condylar mandibular fractures who underwent open reduction and internal fixation through the retromandibular transparotid approach was conducted. The primary study variable was facial nerve palsy, whereas the secondary variables were infection, sialocele, salivary fistula, stability of the fractured segments, post\u2010operative malocclusion, Frey's syndrome, and unesthetic scar. All patients were followed up for 6\u00a0months. Predictor variables included age, gender, side, location, displacement, etiology, concomitant maxillofacial fractures, and healing status. Fisher's exact test was calculated to find the association between primary variables and predictor variables.<\/jats:p><\/jats:sec><jats:sec><jats:title>Result<\/jats:title><jats:p>Out of 35 sub\u2010condylar fractures (29 patients; 23 male, 6 female), four (11.42%) developed transient facial nerve palsy. Fractures at the condylar neck level (<jats:italic>P<\/jats:italic>\u00a0=\u00a0.045) and with displacement (<jats:italic>P<\/jats:italic>\u00a0=\u00a0.026) were significantly associated with the development of facial nerve palsy. Four patients (13.8%) developed slight malocclusion, two had surgical site infections, two developed sialoceles, and one had a salivary fistula.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>The retromandibular transparotid approach is safe and effective with rare major complications in the management of sub\u2010condylar fractures of the mandible. Condylar neck fractures and displaced fractured segments are associated with an increased risk of development of facial nerve palsy.<\/jats:p><\/jats:sec>","DOI":"10.1111\/edt.12626","type":"journal-article","created":{"date-parts":[[2020,11,15]],"date-time":"2020-11-15T16:14:41Z","timestamp":1605456881000},"page":"314-320","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":21,"title":["Retromandibular transparotid approach for subcondylar mandibular fracture: A retrospective study"],"prefix":"10.1111","volume":"37","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6936-7551","authenticated-orcid":false,"given":"Ujjwal","family":"Koirala","sequence":"first","affiliation":[{"name":"Department of Oral and Maxillofacial Surgery Gandaki Medical College Pokhara Nepal"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sushil","family":"Subedi","sequence":"additional","affiliation":[{"name":"Department of Oral and 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