Can a Novel Surgical Approach to the Temporomandibular Joint Improve Access and Reduce Complications?
| Autor: | Wei-Liu Qiu, Minjie Chen, Ya-ting Qiu, Chi Yang |
|---|---|
| Rok vydání: | 2016 |
| Předmět: |
Adult
Male medicine.medical_specialty Weakness Adolescent Oral Surgical Procedures Dentistry Auriculotemporal nerve 03 medical and health sciences Postoperative Complications 0302 clinical medicine stomatognathic system medicine Humans Child Aged Retrospective Studies Surgical approach business.industry Tmj surgery Retrospective cohort study 030206 dentistry Middle Aged Temporomandibular Joint Disorders Facial nerve Surgery Temporomandibular joint stomatognathic diseases Treatment Outcome medicine.anatomical_structure Otorhinolaryngology Child Preschool 030220 oncology & carcinogenesis Female Oral Surgery medicine.symptom business |
| Zdroj: | Journal of Oral and Maxillofacial Surgery. 74:1336-1342 |
| ISSN: | 0278-2391 |
| DOI: | 10.1016/j.joms.2016.01.039 |
| Popis: | Purpose This clinical study investigated whether the vascular-guided multilayer preauricular approach (VMPA) to the temporomandibular joint (TMJ) could improve access and decrease complications. Patients and Methods This retrospective evaluation consisted of a consecutive series of patients who underwent TMJ surgeries through the VMPA from January through December 2013. Patients with a history of TMJ surgery were excluded. Clinical data, including operating times, subjective complaints of incision scars, functional conditions of the auriculotemporal nerve and facial nerve, and other complications, were recorded and analyzed. All patients in this study were followed for at least 6 months. Results All patients (606 joints) had successful TMJ surgeries through the VMPA. All incisions healed favorably with an uneventful recovery. No patient developed permanent weakness of the facial nerve or other severe complications. Conclusion The VMPA can provide direct access and favorable visibility to the TMJ region and yield good esthetic and functional results. The VMPA can be considered the approach of choice for common TMJ surgeries. |
| Databáze: | OpenAIRE |
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