Clinical Trial: Treatment of Diacapitular Condylar Fractures

Study Status: Completed
Recruit Status: Completed
Study Type: Observational

Official Title: A Modified Preauricular Approach to Treat Diacapitular Condylar Fractures: The Supratemporalis Approach

Brief Summary: A new surgical approach, denoted as the supratemporalis approach, was designed to treat diacapitular condylar fractures of the mandibular condyle.This approach prevented facial nerve injury and did not increase the frequency of other complications. Therefore, the investigators suggest this surgical procedure as a routine and safe approach to diacapitular condylar fractures, which can also be applied to temporomandibular joint（TMJ）and to the zygomatic arch.

Detailed Summary: Eighty-four patients (112 sides) with diacapitular condylar fractures were treated surgically. Forty-four patients (64 sides) were treated with the supratemporalis approach, and forty patients (48 sides) were treated with traditional preauricular approach. Data on the surgical procedures and complications were recorded. The follow-up periods were 12 -24months. The evaluated parameters include facial nerve injury，the maximum mouth opening, mandibular movements, occlusion, scar formation，hemorrhage and infection.Seven patients sustained facial nerve paresis in the group treated with the traditional preauricular approach. No case of facial nerve injury was observed in the supratemporalis approach group. No other significant differences were detected between the two groups in the functional and esthetic aspects.
Sponsor: Hui Li

Current Primary Outcome: Facial nerve weakness [ Time Frame: one year ]

Original Primary Outcome: Same as current

Current Secondary Outcome:

Original Secondary Outcome:

Information By: West China College of Stomatology

Dates:
Date Received: June 3, 2015
Date Started: August 2014
Date Completion:
Last Updated: June 8, 2015
Last Verified: June 2015