Retromandibular approach to condyle fractures: two case reports.

Autor: Dantas DB; Fundação Bahiana para o Desenvolvimento das Ciencias/SESAB, Salvador-Bahia, Brazil., Andrade MG, Marchionni AM
Jazyk: angličtina
Zdroj: Cranio : the journal of craniomandibular practice [Cranio] 2007 Oct; Vol. 25 (4), pp. 292-6.
DOI: 10.1179/crn.2007.043
Abstrakt: Retromandibular approach was first described in 1967 for vertical subcondylar osteotomy and later became popular for surgical treatment of temporomandibular joint dysfunction and low condyle fractures. The trajectory of the incision, parallel to the posterior border of the mandibular ramus, allows a good approach with easy separation of the buccal and marginal mandibular branches of the facial nerve, when they are present in the surgical field. When open reduction and internal rigid fixation with plates and screws are indicated for condylar fractures, retromandibular approach offers an excellent esthetic result with low morbidity. Two clinical cases are presented, in which the surgical treatment was carried out for condylar fractures, and clearly illustrate the proposed approach.
Databáze: MEDLINE