{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T10:31:01Z","timestamp":1787740261792,"version":"build-2784847793"},"reference-count":18,"publisher":"MDPI AG","issue":"4","license":[{"start":{"date-parts":[[2024,3,29]],"date-time":"2024-03-29T00:00:00Z","timestamp":1711670400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Craniomaxillofacial Trauma &amp; Reconstruction"],"published-print":{"date-parts":[[2024,12]]},"abstract":"<jats:sec><jats:title>Study Design<\/jats:title><jats:p> This is a retrospective observational study. <\/jats:p><\/jats:sec><jats:sec><jats:title>Objective<\/jats:title><jats:p> To evaluate the clinical outcomes after an open reduction and internal fixation (ORIF) of condylar neck and base fractures (CNBFs) with a trapezoidal shape plate in patients using a less invasive transparotid approach. <\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p> Fifteen patients with condylar fractures were classified according to the Arbeitsgemeinschaft f\u00fcr Osteosynthesefragen Craniomaxillofacial (AOCMF) classification system, treated by ORIF with a trapezoidal plate. All patients were evaluated by clinical examination (pain, occlusion, and mandibular dynamics) and imaging through computed axial tomography. Postoperative evaluations considered a favourable clinical outcome of fragment stability, stable occlusion, absence of pain, and regular mouth opening ranges. In addition, any signs of local infection, malocclusion, facial nerve damage, or failure of the fixation system were recorded. <\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p> According to the AOCMF classification for condylar fractures, eight fractures affected the condylar base and seven involved the condylar neck. No patients presented pain or joint sounds in the TMJ. All patients obtained a buccal opening greater than or equal to 35\u00a0mm. Two patients showed postoperative malocclusion which was corrected by intermaxillary elastics therapy. In addition, two patients had transient paresis during the postoperative period. One of them had paresis of the frontal and buccal branches of the facial nerve while the second patient had paresis of the zygomatic and buccal branches. <\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p> Using trapezoidal miniplates provides functionally stable fixation for neck and base condylar fractures and allows for a less invasive surgical transparotid approach (2\u00a0cm extension). They also reduce the amount of osteosynthesis material and are easier to adapt and fix in the author\u2019s opinion. <\/jats:p><\/jats:sec>","DOI":"10.1177\/19433875241242938","type":"journal-article","created":{"date-parts":[[2024,3,29]],"date-time":"2024-03-29T15:23:45Z","timestamp":1711725825000},"page":"NP44-NP50","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":2,"title":["Clinical Experience With a Less Invasive Surgical Transparotid Approach and Trapezoidal Plate for Neck and Base Condylar Fractures: A Retrospective Study"],"prefix":"10.3390","volume":"17","author":[{"given":"Carlos","family":"Cortez Fuentes","sequence":"first","affiliation":[{"name":"Oral and Maxillofacial Surgery Unit, Hospital Cl\u00ednico Metropolitano El Carmen, Maip\u00fa, Chile"},{"name":"Escuela de Odontolog\u00eda, Pontificia Universidad Cat\u00f3lica de Chile, Santiago, Chile"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Felipe","family":"Astorga Mori","sequence":"additional","affiliation":[{"name":"Oral and Maxillofacial Surgery Unit, Hospital Cl\u00ednico Metropolitano El Carmen, Maip\u00fa, Chile"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Salvador","family":"Valladares P\u00e9rez","sequence":"additional","affiliation":[{"name":"Oral and Maxillofacial Surgery Unit, Hospital Cl\u00ednico Metropolitano El Carmen, Maip\u00fa, Chile"},{"name":"Escuela de Odontolog\u00eda, Pontificia Universidad Cat\u00f3lica de Chile, Santiago, Chile"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Osvaldo","family":"Gahona Guti\u00e9rrez","sequence":"additional","affiliation":[{"name":"Oral and Maxillofacial Surgery Unit, Hospital Cl\u00ednico Metropolitano El Carmen, Maip\u00fa, Chile"},{"name":"Facultad de Odontolog\u00eda, Universidad de Chile, Santiago, Chile"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gerson","family":"Sep\u00falveda Troncoso","sequence":"additional","affiliation":[{"name":"Oral and Maxillofacial Surgery Unit, Hospital Cl\u00ednico Metropolitano El Carmen, Maip\u00fa, Chile"},{"name":"Facultad de Odontolog\u00eda, Universidad de Chile, Santiago, Chile"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Matias","family":"Dallaserra Albertini","sequence":"additional","affiliation":[{"name":"Facultad de Odontolog\u00eda, Universidad de Chile, Santiago, Chile"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Juan Pablo","family":"Vargas Buratovic","sequence":"additional","affiliation":[{"name":"Escuela de Odontolog\u00eda, Pontificia Universidad Cat\u00f3lica de Chile, Santiago, Chile"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2024,3,29]]},"reference":[{"key":"bibr1-19433875241242938","doi-asserted-by":"publisher","DOI":"10.1016\/j.joms.2015.04.032"},{"key":"bibr2-19433875241242938","doi-asserted-by":"publisher","DOI":"10.1055\/s-0034-1389559"},{"key":"bibr3-19433875241242938","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcms.2014.03.005"},{"key":"bibr4-19433875241242938","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcms.2018.04.020"},{"key":"bibr5-19433875241242938","doi-asserted-by":"publisher","DOI":"10.1016\/j.joms.2006.05.068"},{"key":"bibr6-19433875241242938","doi-asserted-by":"publisher","DOI":"10.1016\/j.bjoms.2019.09.016"},{"key":"bibr7-19433875241242938","doi-asserted-by":"publisher","DOI":"10.1016\/j.joms.2018.01.020"},{"key":"bibr8-19433875241242938","doi-asserted-by":"publisher","DOI":"10.1016\/j.jobcr.2015.07.005"},{"key":"bibr9-19433875241242938","doi-asserted-by":"publisher","DOI":"10.1016\/j.joms.2020.01.035"},{"key":"bibr10-19433875241242938","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcms.2005.09.005"},{"key":"bibr11-19433875241242938","doi-asserted-by":"publisher","DOI":"10.1055\/s-0034-1395382"},{"key":"bibr12-19433875241242938","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijom.2020.10.009"},{"key":"bibr13-19433875241242938","doi-asserted-by":"publisher","DOI":"10.1016\/j.joms.2015.11.021"},{"key":"bibr14-19433875241242938","doi-asserted-by":"publisher","DOI":"10.3390\/ma13143063"},{"key":"bibr15-19433875241242938","doi-asserted-by":"publisher","DOI":"10.1016\/j.joms.2017.02.014"},{"key":"bibr16-19433875241242938","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajodo.2016.02.019"},{"key":"bibr17-19433875241242938","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcms.2008.01.002"},{"key":"bibr18-19433875241242938","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcms.2014.01.002"}],"container-title":["Craniomaxillofacial Trauma &amp; 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