A new surgical approach to treat medial or low condylar fractures: the minor parotid anterior approach

被引：34

作者：

Hou, Jia ^{[1
]}

Chen, Lin ^{[1
]}

Wang, Tingting ^{[1
]}

Jing, Wei ^{[1
]}

Tang, Wei ^{[1
]}

Long, Jie ^{[1
]}

Tian, Weidong ^{[1
]}

Liu, Lei ^{[1
]}

机构：

[1] Sichuan Univ, West China Hosp Stomatol, Dept Oral & Maxillofacial Surg, Chengdu 610041, Peoples R China

来源：

ORAL SURGERY ORAL MEDICINE ORAL PATHOLOGY ORAL RADIOLOGY | 2014年 / 117卷 / 03期

基金：

高等学校博士学科点专项科研基金;

关键词：

RETROMANDIBULAR APPROACH; SUBCONDYLAR FRACTURES; MANDIBULAR CONDYLE; OPEN REDUCTION; FIXATION;

D O I：

10.1016/j.oooo.2013.11.491

中图分类号：

R78 [口腔科学];

学科分类号：

1003 ;

摘要：

Objective. A new surgical approach, denoted as the minor parotid anterior approach, was designed to treat medial or low mandibular condylar fractures. Study Design. Sixty patients (72 sides) with medial or low condylar fractures were treated surgically. Thirty-six patients (42 sides) were treated with the minor parotid anterior approach, and 24 patients (30 sides) were treated with a retromandibular approach. Data on the surgical procedures and complications were recorded. The follow-up period was 3 to 12 months. Results. Four patients suffered facial nerve injury in the group treated with the retromandibular approach. No cases of facial nerve injury occurred in the minor parotid anterior approach group. Conclusions. The minor parotid anterior approach avoided facial nerve injury, resulted in less visible facial scarring, and required less manipulation time. Therefore, the minor parotid anterior approach is worth application in the clinical setting.

引用

页码：283 / 288

页数：6

共 22 条

[1] Short retromandibular approach of subcondylar fractures - Clinical and radiologic long-term evaluation [J].

Chossegros, C ;

Cheynet, F ;

Blanc, JL ;

Bourezak, Z .

ORAL SURGERY ORAL MEDICINE ORAL PATHOLOGY ORAL RADIOLOGY AND ENDODONTOLOGY, 1996, 82 (03) :248-252

[2] Open reduction and internal fixation of fractured mandibular condyles by a retromandibular approach: surgical morbidity and informed consent [J].

Devlin, MF ;

Hislop, WS ;

Carton, ATM .

BRITISH JOURNAL OF ORAL & MAXILLOFACIAL SURGERY, 2002, 40 (01) :23-25

[3] GelenkfortsatzfrakturenCondylar neck fractures [J].

U. Eckelt .

Mund-, Kiefer- und Gesichtschirurgie, 2000, 4 (Suppl 1) :S110-S117

[4] RIGID FIXATION OF MANDIBULAR CONDYLE FRACTURES [J].

ELLIS, E ;

DEAN, J .

ORAL SURGERY ORAL MEDICINE ORAL PATHOLOGY ORAL RADIOLOGY AND ENDODONTOLOGY, 1993, 76 (01) :6-15

[5] Open treatment of condylar process fractures: Assessment of adequacy of repositioning and maintenance of stability [J].

Ellis, E ;

Throckmorton, GS ;

Palmieri, C .

JOURNAL OF ORAL AND MAXILLOFACIAL SURGERY, 2000, 58 (01) :27-34

[6]

HENNY F A, 1951, J Oral Surg (Chic), V9, P233

[7] VERTICAL SUBCONDYLAR OSTEOTOMY - A REAPPRAISAL [J].

HINDS, EC ;

GIROTTI, WJ .

ORAL SURGERY ORAL MEDICINE ORAL PATHOLOGY ORAL RADIOLOGY AND ENDODONTICS, 1967, 24 (02) :164-&

[8]

Hochban W, 1996, Fortschr Kiefer Gesichtschir, V41, P80

[9]

MACARTHUR CJ, 1993, ARCH OTOLARYNGOL, V119, P403

[10]

MALKIN M, 1964, Oral Surg Oral Med Oral Pathol, V17, P152, DOI 10.1016/0030-4220(64)90133-1

← 1 2 3 →