La voie d’abord sous-angulo-mandibulaire haute (voie de Risdon modifiée) pour le traitement des fractures sous-condyliennes de la mandibule

Meyer, Christophe; Zink, S.; Wilk, A

doi:10.1016/s0035-1768(06)77086-3

Cited by 32 publications

(9 citation statements)

References 30 publications

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“…We will not discuss which surgical approach is ideal, which fractures should be managed with an open reduction and internal fixation (ORIF), or which type of osteosynthesis is most suitable biomechanically; these issues have already been addressed by other authors, and it is beyond the scope of this work. [4][5][6]8,9 Herein, we will focus entirely on the HSMA for subcondylar mandibular fractures, 10 which is illustrated step by step.…”

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confidence: 99%

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Analysis of the High Submandibular Approach: A Critical Reapprasail of a Transfacial Access to the Mandibular Skeleton

Laganà

Arcuri

Spinzia

et al. 2022

Journal of Craniofacial Surgery

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Aim: In 2006 following the development of dedicated osteosynthesis plates, Meyer and colleagues reported a successful clinical study of condylar fractures treated by a modified submandibular approach; it was called high submandibular approach or “Strasbourg approach.” The aim of this study is to describe the high submandibular approach step by step. Case Series: Between January 2010 and December 2015 at the Maxillofacial Unit of the Hospital “Policlinico San Martino” 13 patients affected by subcondylar fracture underwent open reduction and internal with high submandibular approach. Surgery was uneventful in all patients; no infections occurred in any of the cases; the mean procedure duration was 89 minutes, ranging from 66 to 125 minutes. The mean hospital stay was 2.9 days, ranging from 2 to 6 days. At the 1-year follow-up, all patients had stable occlusion with a natural, well-balanced morphology of the face and adequate dynamic excursion of the mandible. Conclusions: The morbidity is negligible in terms of damage to the facial nerve, vascular injuries, and aesthetic deformity. The authors think that further prospective clinical trials are necessary to assess and eventually develop this approach.

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confidence: 99%

“…In 2006, following the development of dedicated osteosynthesis plates, Meyer et al,4 in a French study, reported a successful clinical study of condylar fractures treated using the modified submandibular approach. Following this, an English study discussed this technical variant of the conventional Risdon approach.…”

mentioning

confidence: 99%

Analysis of the High Submandibular Approach: A Critical Reapprasail of a Transfacial Access to the Mandibular Skeleton

Laganà

Arcuri

Spinzia

et al. 2022

Journal of Craniofacial Surgery

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“…Meyer et al first described the surgical technique of the modified high subangulomandibular or risdon approach in 2006 [13] . The main points of this approach are: a higher incision at 01 cm from the mandibular angle edge and shorter at 04 cm, a strict ascending subcutaneous dissection preserving the marginal branch of the facial nerve, an oblique SMAS incision at 03 cm from the mandibular angle, verification of the presence of the branches of the facial nerve at the level of the aponeurosis of the masseter muscle, then section of the masseter muscle on the same oblique line exposing the posterior edge of the ramus, to then easily expose the fractures of the condyle and perform osteosynthesis with 3D plates.…”

Section: Discussionmentioning

confidence: 99%

“…Facial paralysis is the major constraint for surgeons, but the high subangulomandibular approach remains the safest [3] . This is why, in our department, it has been used for several years for low and neck condylar fractures.…”

Section: Introductionmentioning

confidence: 99%

The high subangulomandibular approach for condylar fractures of the mandible

Kaouani

Kerdoud

Aloua

et al. 2021

International Journal of Surgery Case Reports

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Introduction The approaches to mandibular condyle fractures are described in the literature in an abbreviated manner. Their complications, especially facial nerve damage, have limited the surgical indication. Presentation of case Through this clinical case, we reported the way and the interest of using a twisted steel wire to increase the visibility of the fracture site and facilitate the reduction of even the highest localized fractures. Discussion The high subangulomandibular approach remains a safe approach, with less risk of facial nerve injury if the planes are respected and the facial nerve is avoided if encountered. Nevertheless, this approach is indicated in low condylar and some neck fractures. Conclusion Given the benefits of this approach compared to other techniques, we recommend its use.

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“…Number of approaches have been described, some similar to the design [ 2 ] that is used in the current case and others including postramal (Hinds), submandibular (Risdon), transbuccal trocar and intra-oral approaches with numerous modifications [ 3 - 5 ]. But each one carries its own complications and difficulties and hence, in authors´ view, an incision design with more specialised approach is needed or at least present one more option to aesthetically designed incisions.…”

Section: Introductionmentioning

confidence: 99%

Revisiting the sub-mandibular approach with a modified incision

2020

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Angle of mandible has been long plagued throughout the history for being one of the most common places of facial bone fracture and also related complications if not treated properly. Hereby, two cases of fracture of angle of mandible those were surgically treated with an aim to modify existing extra-oral approaches specifically for treating the mandibular angle fractures for the purpose of open reduction and internal fixation so as to have a good access combined with an aesthetic and inconspicuous scar postoperatively are described. Also, an attempt is made to add one more type of incision to many existing ones so that future surgeons can choose over which best suits their procedure and as an addition to the ever-increasing literature. There is no doubt that meticulous surgical procedure and experience is needed to identify the structures, to stay in the plane of desire and work in comparatively bloodless field. Hence this approach can be bit challenging for newer surgeons. Nonetheless, the result after the closure of the field is quite rewarding.

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La voie d’abord sous-angulo-mandibulaire haute (voie de Risdon modifiée) pour le traitement des fractures sous-condyliennes de la mandibule

Cited by 32 publications

References 30 publications

Analysis of the High Submandibular Approach: A Critical Reapprasail of a Transfacial Access to the Mandibular Skeleton

Analysis of the High Submandibular Approach: A Critical Reapprasail of a Transfacial Access to the Mandibular Skeleton

The high subangulomandibular approach for condylar fractures of the mandible

Revisiting the sub-mandibular approach with a modified incision

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