Transmasseteric Approach for Open Reduction and Internal Fixation of Mandible Subcondylar Fracture
Journal of the Korean Society of Plastic and Reconstructive Surgeons
;
: 161-168, 2010.
Article
Dans Coréen
| WPRIM
| ID: wpr-32878
ABSTRACT
PURPOSE:
Surgical approaches to the condylar neck and subcondyle area can cause some morbidity such as, facial nerve injury, time-consuming nature and external scar etc. So many surgeons hesitate using open reduction and internal fixation for the treatment of subcondylar fractures. We report open reduction and internal fixation of subcondylar fractures in 13 adult patients via transmasseteric approach.METHODS:
From 2007 to 2009, 13 adults with subcondylar fracture of mandible were treated with open reduction and internal fixation via transmasseteric approach. A preauricular incision was extended downwards in a curvilinear fashion in the cervicomastoid skin crease. Skin flap was elevated above the SMAS layer. Masseter muscle was splitted at the anteroinferior edge of the parotid gland. After the fracture was reduced, fixed with appropriate plates and screws. All operation were performed under general anesthesia.RESULTS:
Mean follow-up period was 13.3 months. There were no signs and symptoms of facial nerve injury, difficulty in mouth opening, or malocclusion. Dissection time was roughly within 30 minutes.CONCLUSION:
Transmasseteric open reduction and internal fixation of mandible subcondylar fracture can be performed with excellent visualization, and inconspicuous scar. It also offers swift access to the subcondylar area while substatially reducing the risk to the facial nerve and eliminating the complications associated with transparotid approaches.
Texte intégral:
Disponible
Indice:
WPRIM (Pacifique occidental)
Sujet Principal:
Glande parotide
/
Peau
/
Études de suivi
/
Cicatrice
/
Lésions traumatiques du nerf facial
/
Nerf facial
/
Anesthésie générale
/
Malocclusion dentaire
/
Mandibule
/
Muscle masséter
Type d'étude:
Étude observationnelle
/
Étude pronostique
Limites du sujet:
Adulte
/
Humains
langue:
Coréen
Texte intégral:
Journal of the Korean Society of Plastic and Reconstructive Surgeons
Année:
2010
Type:
Article
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