目的探讨改良腮腺切口在下颌骨髁状突中低位骨折的治疗效果。方法对23例中低位髁状突骨折患者行改良腮腺切口入路,穿过腮腺,解剖面神经,直视下解剖复位,并行坚强内固定。结果本组病例经半年随访,19例手术患者治疗效果满意,面部对称,瘢痕隐蔽,无明显神经损伤症状。结论改良腮腺切口是一种治疗髁状突中低位骨折有效的方法 。 Objective To investigate the therapeutic effect of modified parotid incision in the middle and low fractures of mandibular condyle. Methods Twenty - three patients with condylar fractures were treated with modified parotid incision through the parotid gland to dissect the facial nerve and anatomic reduction under direct vision. The patients underwent rigid internal fixation. Results The patients in this group were followed up for six months. The results of 19 cases were satisfactory, with facial symmetry, hidden scars and no obvious nerve injury symptoms. Conclusion Modified parotid incision is an effective method to treat middle and low condylar fractures.