Abstract: Objective: To compare two retromandibular approaches for reduction of mandibular condyle neck fracture. Methods: 64 adult patients were included in this study and were randomly divided into group A and group B. Group A included 32 patients who were treated with retromandibular transparotid approach. Group B included 32 patients who were treated with retromandibular antero-parotid approach. Results: All 64 cases achieved satisfactory anatomic reduction and occlusal relationship. No ankylosis of temporomandibular joint was found in all patients. In group A, two patients had facial nerve injury after surgery, while in group B four parients got facial nerve injury and two got salivary fistula. Conclusion: Retromandibular approach was effective in condyle neck fracture reduction. Compared with transparotid approach, antero-parotid approach reduced the surgical complications.

Key words: Mandibular condylar neck fractures, Retromandibular approach, Anatomic reduction, Complications