Determination of a safety zone for transbuccal trocar placement: an anatomical study

Gülses, Aydın; Kılıç, Cenk; Şençimen, Metin

doi:10.1016/j.ijom.2012.02.013

Cited by 13 publications

(10 citation statements)

References 15 publications

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“…It is also a procedure of choice over the submandibular approach in bilateral unfavorable angle fractures, which helps in preventing damage to marginal mandibular nerve. This approach is usually employed because it results in less inconspiquous scar formation and allows direct visualization of the fracture site, confirmation of the occlusion status during placement of bone plates and relatively low risk of facial nerve injury [4,13,14].…”

Section: Discussionmentioning

confidence: 99%

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Comparison of Management of Mandibular Angle Fractures by Three Approaches

Sudhakar

Gaddipati

Dhanala

et al. 2015

J. Maxillofac. Oral Surg.

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Background and Objectives Various methods have been reported in the literature for treating mandibular angle fractures comparing extra oral, intra oral and transbuccal approaches for achieving the goals of restoration of anatomic form, maintenance of segment position and bony union. Materials and Methods This study was conducted to assess the simple and effective surgical approach in treating mandibular angle fractures and the outcome by means of three approaches i.e. intra oral, transbuccal and extra oral approaches. Results/Conclusion A total of 45 patients with mandibular angle fracture were divided into three groups. Group Iintra oral approach-15 patients, Group II-transbuccal with intraoral approach-15 patients, Group III-extra oral approach-15 patients. The results of our study found intraoral approach to be much better because it is simple, precise, duration is short, and post operative complications are less with minimal morbidity and pain.

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Section: Discussionmentioning

confidence: 99%

“…Extraorally, a stab incision was given orienting the scalpel blade parallel to the relaxed resting skin tension lines (RSTL) for insertion of trans buccal trocar instrument based on the study conducted by Gulses et al [4]. The site for osteosynthesis was guided by placing index finger and marking it on the cheek.…”

Section: Transbuccal Approachmentioning

confidence: 99%

Comparison of Management of Mandibular Angle Fractures by Three Approaches

Sudhakar

Gaddipati

Dhanala

et al. 2015

J. Maxillofac. Oral Surg.

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“…No incidence of postoperative marginal mandibular nerve disturbance occurred in all the cases. The technique used to determine the zone for placement of the Trocar differed with the one proposed by Guilse et al in (2012) (33). They reported the safety zone as the region made by three lines at the angle of the mandible.…”

Section: Discussionmentioning

confidence: 99%

Evaluation of Dynamic Compression Miniplates in Treatment of Mandibular Angle Fractures Using Trocar

Wakuloba

Mahallawy

Ragab

2015

Alexandria Dental Journal

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Introduction: Mandibular angle fractures (MAFs) account for 23% to 42% of all mandibular fractures. The frequent involvement of the angle in mandibular fractures can be attributed to its thin cross-sectional bone area and the presence of a third molar Objectives: The aim of this study was to evaluate clinically and radiologically the use of two dynamic compression miniplates in treatment of mandibular angle fractures using Trocar instrumentation Materials and methods: The study was conducted on ten patients diagnosed with a single mandibular angle fracture indicated for open reduction and internal fixation. The fracture was exposed through transoral vestibular incision and reduced under general anesthesia. Third molar tooth in the fracture line was extracted. Temporary Maxillomandibular fixation was done using 26gauge stainless steel wires with arch bars. One dynamic compression miniplate was fixed on the external oblique ridge. The second miniplate was fixed on the lower border of the mandible using Trocar instrumentation. Results: Pain, edema and trismus decreased significantly over the follow up period. Maximum interincisal mouth opening and bone density along the fracture line increased significantly over the follow up period. Five patients had parasthesia of the inferior alveolar and mental nerve preoperatively. The parasthesia decreased progressively from the fourth week. Postoperative panorama radiographs showed adequate reduction and increase in bone density along the fracture line. No postoperative complication occurred. Conclusion: Two 2.0 mm dynamic compression miniplates are suitable for treatment of mandibular angle fractures using Trocar instrumentation.

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“…Safety zone for incision placement was evaluated and extra-oral stab incision was given and a peace of endotracheal tube no. 6.5 was cut and used to access through lateral side of mandible [3]. Tube was secured with 3-0 silk sutures.…”

mentioning

confidence: 99%

“…Using this customized trocar is economical but allows only partial replacement of trocar system that gives access (Figs. 1,2,3,4,5).…”

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confidence: 99%

Patient End of Endotracheal Tube as Gateway for Transbuccal Approach in Internal Fixation of Mandibular Angle Fracture: A Technical Note

Bhujbal

Rao

Waknis

2020

J. Maxillofac. Oral Surg.

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Determination of a safety zone for transbuccal trocar placement: an anatomical study

Cited by 13 publications

References 15 publications

Comparison of Management of Mandibular Angle Fractures by Three Approaches

Comparison of Management of Mandibular Angle Fractures by Three Approaches

Evaluation of Dynamic Compression Miniplates in Treatment of Mandibular Angle Fractures Using Trocar

Patient End of Endotracheal Tube as Gateway for Transbuccal Approach in Internal Fixation of Mandibular Angle Fracture: A Technical Note

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