Modified Submandibular Access for Open Reduction and Internal Rigid Fixation in Condylar Fractures

Conci, Ricardo Augusto; Tomazi, Flávio Henrique Silveira; Kalaoun, Rosana; Fritscher, Guilherme Genehr; Oliveira, Greison Rabelo de; Heitz, Corey

doi:10.1097/scs.0000000000001099

Cited by 5 publications

(3 citation statements)

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“…However, controversies have been continuing to surround the surgical treatment of condylar fracture 12 , 13 . In the position paper from the IBRA Symposium on Surgery of the Head, Condylar Fracture Osteosynthesis, Marseille, France 2012 14 , the extraoral approach was subdivided into submandibular 15 , retromandibular, preauricular, and transparotid 16 approaches. Authors have classified the extraoral approach as direct reduction with fixation via a submandibular or endaural approach, extracorporeal fixation with vertical ramus osteotomy, intraoral direct reduction and fixation with an angled driver or transbuccal set with endoscopic visualization 7 .…”

Section: Discussionmentioning

confidence: 99%

Intraoral reinsertion after extracorporeal fixation in condylar fracture

Kim

2021

JKAOMS

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For treatment of mandibular condyle fracture, this article introduces the surgical protocol of intraoral reinsertion after extracorporeal fixation. This efficient, anatomically acceptable, extraoral scar-free, and relatively uncomplicated approach for condylar fracture can be compared with conventional extraoral fixation through various approaches. Clinical step-by-step procedures with a scientific basis were described in this technical strategy note.

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Section: Discussionmentioning

confidence: 99%

Intraoral reinsertion after extracorporeal fixation in condylar fracture

Kim

2021

JKAOMS

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“…The high perimandibular approach is also known as the high submandibular approach [23], modified Risdon-Strasbourg approach [20,24], modified submandibular access [25], modified high submandibular approach [26,27], etc. In this technique, the marginal mandibular branch is not located within the retracted flap because of an initial superficial dissection of the platysma [18,19,28].…”

Section: Introductionmentioning

confidence: 99%

Postoperative Complications following Open Reduction and Rigid Internal Fixation of Mandibular Condylar Fracture Using the High Perimandibular Approach

et al. 2023

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The high perimandibular approach is a feasible surgical technique for treating mandibular condylar fractures with open reduction and internal fixation, followed by fewer complications. Temporary trismus is the only postoperative complication that may occur. This study evaluated postoperative complications following open reduction and rigid internal fixation (OR-IF) of mandibular condylar fractures using the high perimandibular approach. Twenty consecutive patients undergoing OR-IF were included in this study. They included 11 male and 9 female patients, of an average age of 58.5 years, all of whom responded to a follow-up call at least 12 months after the surgery. All patients were evaluated for range of mouth opening, postoperative complications, and radiological findings. A statistical analysis of the relationship between range of mouth opening and related clinical parameters at 6 months postoperative evaluation was conducted. The fracture of the condylar neck was associated with a limited range of mouth opening and longer operation time. However, longer operation time was not associated with a limited range of mouth opening. The high perimandibular approach with OR-IF in mandibular condylar fractures is a feasible and safe technique; however, prolonged surgery and mandibular condylar neck fractures could affect the postoperative range of mouth opening.

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“…4,5,9 Apesar de o exame clínico ainda ser considerado soberano no diagnóstico de fratura de mandíbula, os exames de imagem são comumente utilizados, no intuito de complementar o diagnóstico e haver maior acurácia da localização e da extensão da fratura. 4,10 Entre as radiografias bidimensionais mais utilizadas, destacam-se a radiografia panorâmica e a póstero-anterior de face ou mandíbula (PA). Em alguns casos, pode-se lançar mão de outras tomadas radiográficas, como a towne reversa, lateral oblíqua de mandíbula e ATM.…”

Section: Introductionunclassified

Manejo cirúrgico de fratura de mandíbula: relato de caso

Rodrigues

Quintas

Barreto

et al. 2018

Rev. da Fac. de Odontologia, UPF

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Objetivo: relatar o caso de uma paciente vítima de agressão física, cursando com fratura de mandíbula em região de parassínfise esquerda. Relato de caso: Paciente do sexo feminino, 26 anos de idade, ASA I, melanoderma, vítima de agressão física, procurou o serviço de Cirurgia e Traumatologia Bucomaxilofacial da Faculdade de Odontologia da Universidade Federal da Bahia. Ao exame físico referiu queixas álgicas espontâneas em região mandibular esquerda e presença de degrau ósseo em região passinfisária esquerda. Ao exame de imagem observou-se sinais sugestivos de fratura em região de parassínfise esquerda. Na paciente em questão, foi realizado o manejo cirúrgico da fratura com auxílio de miniplacas e parafusos do sistema 2.0mm em um acesso intraoral. No acompanhamento pós-operatório observou-se material de osteossíntese e odontossíntese em posição, fratura adequadamente reduzida e ausência de sinais de deslocamento dos cotos fraturados. Considerações finais: o uso do sistema de fixação interna rígida está indicado em casos de fraturas desfavoráveis de mandíbula uma vez que apresenta resultados satisfatórios referentes a estabilização e cicatrização óssea. A redução e fixação com auxílio de miniplacas e parafusos tendem a evitar o deslocamento dos cotos fraturados e formação de pseudoartrose.

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Modified Submandibular Access for Open Reduction and Internal Rigid Fixation in Condylar Fractures

Abstract: A modified submandibular access is a safe and reproducible procedure providing excellent functional results. This procedure has been routinely performed in our department.

Cited by 5 publications

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Intraoral reinsertion after extracorporeal fixation in condylar fracture

Intraoral reinsertion after extracorporeal fixation in condylar fracture

Postoperative Complications following Open Reduction and Rigid Internal Fixation of Mandibular Condylar Fracture Using the High Perimandibular Approach

Manejo cirúrgico de fratura de mandíbula: relato de caso

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