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Case report
Novel use of the transparotid approach to the mandible for benign pathology
  1. Timothy Manzie and
  2. Emma Lewis
  1. Oral and Maxillofacial Surgery, Fiona Stanley Hospital, Murdoch, Western Australia, Australia
  1. Correspondence to Dr Timothy Manzie; tmanzie{at}


Access to the mandibular ramus can be difficult. There are a number of described methods for accessing the mandibular ramus and condyle, including a transoral or transcutaneous approach. Access via a transoral approach prevents surgical scars but can result in an excessive amount of bone removal from the anterior mandibular ramus. The transparotid approach has been described and commonly used for the management of mandibular trauma. It allows for direct access to the mandibular ramus and condyle with a number of possible complications, including salivary fistula formation, sialocele and facial nerve injury. Despite these risks, this approach is commonly used in the setting of trauma. This case report describes an additional indication, the successful use of the transparotid approach for the management of benign odontogenic pathology.

  • oral and maxillofacial surgery
  • dentistry and oral medicine
  • surgery

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  • Contributors EL and TM conceived the idea of the surgical technique and planned the case. TM was the primary surgeon for the procedure with EL overseeing the case as the consultant in charge. TM collated the clinical pictures and medical imaging. TM, with guidance from EL, produced the initial draft presentation. EL reviewed the draft and further modified the draft. Both the authors discussed the results and contributed to the final manuscript.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Patient consent for publication Obtained.

  • Provenance and peer review Not commissioned; externally peer reviewed.