A 21-year-old male patient presented with a bilateral condylar and a symphysis fracture. In this case, a combined approach was employed to reduce and fix the fractured condyle. The right medially displaced condylar fracture was addressed. A preauricular approach was advocated to retrieve the medially displaced fractured condyle []. To facilitate proper reduction and fixation of the fractured segments, a retromandibular approach was also used. We used Hegar's uterine dilators in sequence to create an accessible working space for reduction and fixation, passing it through the retromandibular incision, and exiting through the preauricular incision []. During plating, the superior screws were placed through the preauricular incision and the inferior screws were placed through the retromandibular incision. Finally, the symphysis fracture was reduced and fixed through an intraoral vestibular incision. Postoperative radiograph was taken to assess the surgical outcome [].
A 27-year-old male was treated with ORIF for right subcondylar fracture via retromandibular approach. Again discharge of colorless, odorless watery fluid from right parotid region was noticed after second postoperative day, Diagnosis of parotid fistula was made and treated with hypertonic saline injections.\nWarm hypertonic saline (60°C) was injected after flushing with Betadine followed by pressure dressing and antisialagogue drugs were given for 5 days. On the fifth day of this course the fistulous tract healed spontaneously and there were no associated complications. Patient is on continuous follow-up since 3 months and there are no complications reported till date [].