A New Surgical Approach to Treat Medial or Low Condylar Fractures

Study Overview
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Brief Summary
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The aim of the study was to compare the new approach and the retromandibular approach, so that the therapeutic effect and the advantages of the new approach would be clear.

Detailed Description
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Sixty patients (72 sides) with medial or low condylar fractures were treated with surgical intervention. Thirty-six patients (42 sides) were treated with minor parotid anterior approach, and the other 24 patients (30 sides) were treated with retromandibular approach. The data about the operations and complications were recorded. The follow-up periods were 3-12 months.

Official Title
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A New Surgical Approach to Treat Medial or Low Condylar Fractures:The Minor Parotid Anterior Approach

Conditions
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Fracture of Condylar Process

Intervention / Treatment
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* Procedure: the minor approach


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: (1)clinical and imaging diagnosis of medial or low condylar fractures (2)bone fragments that were obviously dislocated, that affected patients appearance and function, requiring surgical intervention (3)no previous surgical treatment Exclusion Criteria: (1)medial or low condylar fractures without obvious displacement (2)patients who had previously undergone unsuccessful surgery (3)the surgical site had traumatic scar, so the approach could be carried out on the original incision

Ages Eligible for Study
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Minimum Age: 5 Years
Maximum Age: 56 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: the minor approach group<br>Thirty-six patients (the minor parotid anterior approach group) were treated with minor parotid anterior approach | Procedure: the minor approach<br>* Thirty-six patients (the minor approach group) were treated with minor parotid anterior approach<br>* Other names: the minor parotid anterior approach;|
| Other: control group<br>24 patients (control group) were treated with the retromandibular approach | Procedure: the minor approach<br>* Thirty-six patients (the minor approach group) were treated with minor parotid anterior approach<br>* Other names: the minor parotid anterior approach;|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| the number of participants with facial nerve injury | to explore whether the minor parotid anterior approach could prevent facial nerve injury. | from 3 months to 1 year after surgery | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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medial or low condylar fractures, the minor parotid anterior approach, the retromandibular approach