Tehran University of Medical Sciences Frontiers in Dentistry 2676-296X 17 0 2020 09 14 2677 2677 EN Alireza Parhiz Dental Research Center, Dentistry Research Institute, Tehran University of Medical Sciences, Tehran, Iran AND Department of Oral and Maxillofacial Surgery, Tehran University of Medical Sciences, Tehran, Iran Milad Parvin Department of Oral and Maxillofacial Surgery, Tehran University of Medical Sciences, Tehran, Iran Sasan Sanjari Pirayvatlou Department of Oral and Maxillofacial Surgery, Tehran University of Medical Sciences, Tehran, Iran 2018 06 28 2020 09 13 This study assessed the efficacy of the retromandibular antero-parotid approach for open reduction and internal fixation (ORIF) of subcondylar fractures. Sixty patients with the mean age of 31.03 years underwent surgical reduction with a 20-25mm incision in the retromandibular area with an antero-parotid transmasseteric approach. All patients were followed between 6 to 12 months. At the end of the first week, six patients exhibited postoperative malocclusion. At the next visits, all patients had optimal occlusion. Maximal interincisal opening (MIO) of 56 patients (93.3%) was >37mm, and only four patients (6.7%) had MIO<37mm. In three patients (5%), weakness of the buccal branch of the facial nerve was noticed postoperatively. No salivary gland complications were seen. The surgical scar was hardly noticeable. Retromandibular access with transmasseteric antero-parotid approach is the technique of choice for treatment of high- and low-level subcondylar fractures with adequate visibility and direct access to the condylar area. https://fid.tums.ac.ir/index.php/fid/article/view/2677 https://fid.tums.ac.ir/index.php/fid/article/download/2677/1813