Four Flap Rhytidectomy Approach for the treatment of Dislocated Sub Condylar Fractures of Mandible

To analyze the outcome of modified rhytidectomy approach through four flaps for the ORIF of displaced Subcondylar fractures of the mandible. 14 cadaveric specimens studied for facial nerve anatomy 10 clinical cases with dislocated sub condylar fractures operated through four flap rhytidectomy approach. The morbidity of neuropraxic facial palsy is significantly less when compared to the benefit of open access and anatomical reduction of these fractures. This approach goes a long way in reducing morbidity in the form of TM joint arthritis and internal derangement of the joint. This surgical approach is useful for ORIF of fractures in the condyle, subcondyle and upper ramus regions of mandible through skin flap, SMAS flap, Glandular flap and pterygomasseteric sling flap.