The post-auricular approach for gap arthroplasty – A clinical investigation

Bansal, Vishal; Kumar, Sanjeev; Mowar, Apoorva; Yadav, Anurag; Khare, Gagan

doi:10.1016/j.jcms.2011.08.009

Cited by 8 publications

(18 citation statements)

References 10 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Further, this approach may result in residual ear deformity or auricular stenosis. Bansal et al 6 compared the pre-auricular approach with the postauricular approach in 30 joints with TMJ ankylosis. They outlined the many benefits of the post-auricular approach, but also suggested that it may lead to more intraoperative haemorrhage and a prolonged time to expose the joint.…”

Section: Discussionmentioning

confidence: 99%

“…5 A myriad of extraoral incisions and techniques have so far been reported for gaining access to the temporomandibular apparatus or the ankylotic mass, all of which have been a challenge to the surgeon in terms of gaining adequate visibility, minimizing the facial scar, negotiating the facial nerve and auriculo-temporal nerves to prevent injury, reducing intraoperative and postoperative haemorrhage, and the occurrence of occasional anatomical deformity of the ear, surgical infection, and salivary fistula and sialocele. 6 Many authors have tried to circumvent these complications by approaching the joint transorally. However, in 2009, Ko et al 7 were the first and only authors to report transoral access for the treatment of TMJ ankylosis.…”

mentioning

confidence: 99%

See 1 more Smart Citation

Gap arthroplasty of temporomandibular joint ankylosis by transoral access: a case series

Rajan

Reddy

Potturi

et al. 2014

International Journal of Oral and Maxillofacial Surgery

View full text Add to dashboard Cite

Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

Gap arthroplasty of temporomandibular joint ankylosis by transoral access: a case series

Rajan

Reddy

Potturi

et al. 2014

International Journal of Oral and Maxillofacial Surgery

View full text Add to dashboard Cite

“…Bansal et al . [ 30 ] also reported incidence of transient temporal nerve weakness in 46.67% joints operated by the preauricular approach and 13.33% in the postauricular approach, zygomatic nerve weakness was observed in 26.67% cases in preauricular and 0% cases of postauricular approaches. Vasconcelos et al .…”

Section: Discussionmentioning

confidence: 96%

Assessment of facial nerve injury with “House and Brackmann facial nerve grading system” in patients of temporomandibular joint ankylosis operated using deep subfascial approach

Malhotra

Rao

Arya

et al. 2015

Natl J Maxillofac Surg

View full text Add to dashboard Cite

Background:Preservation of the functional integrity of the facial nerve (FN) is a critical measure of success in temporomandibular joint (TMJ) surgery. In spite of the development of a myriad of surgical approaches to the TMJ, FN remains at risk. The deep subfascial approach provides an additional layer of protection (the deep layer of the temporalis fascia and the superficial temporal fat pad) to the temporal and zygomatic branches of the FN and thus, is the safest method to avoid FN injury.Objectives:To assess FN injury following TMJ surgery using deep subfascial approach and measuring it on House and Brackman facial nerve grading system (HBFNGS).Materials and Methods:Twenty TMJs in 18 patients were operated for TMJ ankylosis, using “the deep subfascial approach.” FN function was assessed postoperatively at 24 h, 1 week, 1 month, 3 months, 6 months using HBFNGS. Statistical analysis was done using SPSS 16.0.Results:Of 20 surgical sites 3 sites showed Grade III (moderate) FN injury and 17 sites showed Grade II (mild) FN injury at 24 h. The condition improved with time with full recovery of FN at all surgical sites at 6 months.Conclusion:The deep subfascial approach has a distinct advantage over the conventional approaches when dissecting the temporal region and is the safest method to avoid injury to FN.

show abstract

“…The retroauricular approach (RA) is a surgical technique that involves cutting the skin backwards from the auricle. Among numerous indications for making an incision behind the ear, concerning the pathologies of the auricle itself and the retroauricular area, it is possible to use RA for the operation of structures located anteriorly from the auricle [ 1 , 2 , 3 , 4 , 5 , 6 , 7 ]. In the course of RA it is possible to reach the mandibular condyle, the zygomatic arch and a very complex temporomandibular joint [ 5 , 6 , 7 , 8 , 9 ].…”

Section: Introductionmentioning

confidence: 99%

“…Among numerous indications for making an incision behind the ear, concerning the pathologies of the auricle itself and the retroauricular area, it is possible to use RA for the operation of structures located anteriorly from the auricle [ 1 , 2 , 3 , 4 , 5 , 6 , 7 ]. In the course of RA it is possible to reach the mandibular condyle, the zygomatic arch and a very complex temporomandibular joint [ 5 , 6 , 7 , 8 , 9 ]. This joint, apart from a complex system of ligaments, is also surrounded by very delicate branches of the facial nerve, which makes it difficult to safely access anteriorly from the auricle [ 5 , 10 , 11 , 12 ].…”

Section: Introductionmentioning

confidence: 99%

Variants and Modifications of the Retroauricular Approach Using in Temporomandibular Joint Surgery: A Systematic Review

Sikora

Chęciński²,

Nowak³

et al. 2021

JCM

View full text Add to dashboard Cite

Introduction: The retroauricular approach (RA) has been developed in order to expose the temporomandibular joint in a way that minimizes the risk of injury to the facial nerve and masks the postoperative scar. One of its characteristics is an excellent posterolateral view of the mandibular head, which allows for the preservation of the lateral temporomandibular joint ligaments in the course of open intracapsular surgery. Aim: The aim of this study is to systematically review the currently used variants and modifications of RA. Materials and Methods: The construction of the following study is based on PICOS and PRISMA protocols. A systematic literature search was performed based on the PubMed and BASE search engines; furthermore the authors performed a more detailed search in the Google Scholar article database as well as a loop search within the references of papers included in the systematic review. Results: Searching medical articles databases, Google Scholar, and references yielded a total of 85 records. First the titles and abstracts were blindly screened which was followed by a full-text eligibility check resulting in eventually including and qualifying 7 articles for detailed analysis. Discussion: All known variants and modifications of RA are characterized by high safety for the facial nerve and an aesthetically hidden scar. There were no reports of auricle necrosis in the collected material. Conclusions: In this systematic review, 2 variants and 2 modifications of RA that allow for open temporomandibular joint surgery have been identified; all of them together cover a large spectrum of indications for joint surgery, including reposition and osteosynthesis of mandibular head fractures, eminoplasty, or eminectomy and treatment of some forms of ankylosis.

show abstract

The post-auricular approach for gap arthroplasty – A clinical investigation

Cited by 8 publications

References 10 publications

Gap arthroplasty of temporomandibular joint ankylosis by transoral access: a case series

Gap arthroplasty of temporomandibular joint ankylosis by transoral access: a case series

Assessment of facial nerve injury with “House and Brackmann facial nerve grading system” in patients of temporomandibular joint ankylosis operated using deep subfascial approach

Variants and Modifications of the Retroauricular Approach Using in Temporomandibular Joint Surgery: A Systematic Review

Contact Info

Product

Resources

About