Retromandibular Transparotid Approach Versus Transmasseteric Anteroparotid Approach for Fixation of Subcondylar Fracture

NCT07403708 | Completed

• 1 other identifier: 0841-01/2024
• Study Type: interventional
• Target: 20
• Locations: 1 country
• Sites: 1

Brief Summary

Background: Condylar fracture is one of mandibular fracture which accounts for 20-35%. It is the most controversial fractures regarding diagnosis and management. For several years, surgeons preferred closed reduction over open reduction to avoid surgical complications. Closed reduction may have late complications, the preference started to change towards open treatment. A Transmasseteric Anteroparotid (TMAP) approach for open treatment of condylar fractures overcomes the problems of facial nerve injury of other approaches. Aim: Comparing the Transmasseteric Antroparotid approach(TMAP) to the Transparotid (TP) approach in management of subcondylar fractures regarding the facial nerve affection, parotid fistula, reduction angulation, pain, duration of the surgery, occlusion and patient satisfaction with the scar. Materials and Methods: Twenty patients with subcondylar fracture will be divided randomly into two equal groups. Group1(study group): Transmasseteric Antroparotid approach. Group2 (control group): Retromandibular Transparotid approach. Patients will be followed up for 3 months to assess facial nerve injury, pain, occlusion and patient's scar satisfaction . Results: data will be collected, tabulated and statistically analysed.

Conditions

Condylar Fractures

Outcome Measures

Primary Outcomes (1)

• facial nerve injury

  immediate postoperative

Secondary Outcomes (1)

• approach time

  interaoperative

Study Arms (2)

transmasseteric anteroparotid approach

EXPERIMENTAL

Procedure: transmasseteric anteroparotid approach

transparotid approach

ACTIVE COMPARATOR

Procedure: transparotid approach

Interventions

transparotid approach PROCEDURE

facial nerve and parotid dissection to reach condyle

transparotid approach

transmasseteric anteroparotid approach PROCEDURE

safer approach for condylar fracture

transmasseteric anteroparotid approach

Eligibility Criteria

• Age: 20 Years - 50 Years
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64)

You may qualify if:

• Patients suffering from displaced extracapsular mandibular subcondylar fracture indicated for open reduction including:
• Difficulty of obtaining adequate occlusion by closed method. Radiological signs of the following:
• Deviation of the he fragments from the axis of the ascending ramus in medial or lateral direction more than 10°. (28)
• Shortening of the ascending ramus ≥ 2 mm measured from the roof of glenoid fossa to the inferior border of the ascending ramus of the mandible.
• Dislocation of the condyle from the glenoid fossa.

You may not qualify if:

• Patients who were not able to follow the information given or to make a decision themselves due to mental or other problems. 2. Patient with undisplaced condylar fractures that doesn't cause malocclusion or loss of facial heightening and can be treated conservatively.

Sponsors & Collaborators

• Alexandria University: lead

Study Sites (1)

Alexandria university

Alexandria, Egypt

Location

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: PARTICIPANT
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Dr.

Study Record Dates

• First Submitted: February 5, 2026
• First Posted: February 11, 2026
• Study Start: January 1, 2024
• Primary Completion: December 30, 2025
• Study Completion: December 30, 2025
• Last Updated: February 12, 2026

Record last verified: 2026-02

Data Sharing

• IPD Sharing: Will not share

Locations

EG (1)