Mandibular subluxation for distal internal carotid artery exposure in edentulous patients.
Identifieur interne : 005735 ( Main/Exploration ); précédent : 005734; suivant : 005736Mandibular subluxation for distal internal carotid artery exposure in edentulous patients.
Auteurs : Gijs W. Jaspers [Pays-Bas] ; Max J. Witjes ; Jan J. Van Den Dungen ; Harry Reintsema ; Clark J. ZeebregtsSource :
- Journal of vascular surgery [ 1097-6809 ] ; 2009.
Descripteurs français
- KwdFr :
- MESH :
English descriptors
- KwdEn :
- Aged, Bone Screws, Bone Wires, Carotid Artery, Internal (surgery), Carotid Stenosis (complications), Carotid Stenosis (surgery), Endarterectomy, Carotid, Female, Humans, Jaw, Edentulous (complications), Jaw, Edentulous (surgery), Male, Mandible (surgery), Middle Aged, Oral Surgical Procedures (instrumentation).
- MESH :
- complications : Carotid Stenosis, Jaw, Edentulous.
- instrumentation : Oral Surgical Procedures.
- surgery : Carotid Artery, Internal, Carotid Stenosis, Jaw, Edentulous, Mandible.
- Aged, Bone Screws, Bone Wires, Endarterectomy, Carotid, Female, Humans, Male, Middle Aged.
Abstract
Four patients with high internal carotid artery (ICA) occlusive disease were indicated for surgical endarterectomy and needed additional exposure besides regular head rotation and extension. When indicated, in our clinic this is usually achieved by mandibular subluxation with interdental wiring. Due to dental wear and periodontal disease, all 4 patients were edentulous. As a consequence, the technique of interdental wiring could not be used. In this technical note we will explain a method for interarch fixation with the use of two ipsilateral monocortical miniscrews and wiring, and the use of patients' pre-existing mandibular implants and provisional overdenture. This method gives rise to an additional exposure of 15 to 20 mm of the ICA.
DOI: 10.1016/j.jvs.2009.07.068
PubMed: 19782520
Affiliations:
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Jaspers</name><affiliation wicri:level="3"><nlm:affiliation>Department of Oral and Maxillofacial Surgery, University Medical Center Groningen, Groningen, The Netherlands.</nlm:affiliation><country xml:lang="fr">Pays-Bas</country><wicri:regionArea>Department of Oral and Maxillofacial Surgery, University Medical Center Groningen, Groningen</wicri:regionArea><placeName><settlement type="city">Groningue</settlement><region nuts="2" type="province">Groningue (province)</region></placeName></affiliation></author><author><name sortKey="Witjes, Max J" sort="Witjes, Max J" uniqKey="Witjes M" first="Max J" last="Witjes">Max J. Witjes</name></author><author><name sortKey="Van Den Dungen, Jan J" sort="Van Den Dungen, Jan J" uniqKey="Van Den Dungen J" first="Jan J" last="Van Den Dungen">Jan J. Van Den Dungen</name></author><author><name sortKey="Reintsema, Harry" sort="Reintsema, Harry" uniqKey="Reintsema H" first="Harry" last="Reintsema">Harry Reintsema</name></author><author><name sortKey="Zeebregts, Clark J" sort="Zeebregts, Clark J" uniqKey="Zeebregts C" first="Clark J" last="Zeebregts">Clark J. Zeebregts</name></author></analytic><series><title level="j">Journal of vascular surgery</title><idno type="eISSN">1097-6809</idno><imprint><date when="2009" type="published">2009</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Aged</term><term>Bone Screws</term><term>Bone Wires</term><term>Carotid Artery, Internal (surgery)</term><term>Carotid Stenosis (complications)</term><term>Carotid Stenosis (surgery)</term><term>Endarterectomy, Carotid</term><term>Female</term><term>Humans</term><term>Jaw, Edentulous (complications)</term><term>Jaw, Edentulous (surgery)</term><term>Male</term><term>Mandible (surgery)</term><term>Middle Aged</term><term>Oral Surgical Procedures (instrumentation)</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adulte d'âge moyen</term><term>Artère carotide interne ()</term><term>Endartériectomie carotidienne</term><term>Femelle</term><term>Fils métalliques</term><term>Humains</term><term>Mandibule ()</term><term>Mâchoire édentée ()</term><term>Mâle</term><term>Procédures de chirurgie maxillofaciale et buccodentaire (instrumentation)</term><term>Sténose carotidienne ()</term><term>Sujet âgé</term><term>Vis orthopédiques</term></keywords><keywords scheme="MESH" qualifier="complications" xml:lang="en"><term>Carotid Stenosis</term><term>Jaw, Edentulous</term></keywords><keywords scheme="MESH" qualifier="instrumentation" xml:lang="en"><term>Oral Surgical Procedures</term></keywords><keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Carotid Artery, Internal</term><term>Carotid Stenosis</term><term>Jaw, Edentulous</term><term>Mandible</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Aged</term><term>Bone Screws</term><term>Bone Wires</term><term>Endarterectomy, Carotid</term><term>Female</term><term>Humans</term><term>Male</term><term>Middle Aged</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adulte d'âge moyen</term><term>Artère carotide interne</term><term>Endartériectomie carotidienne</term><term>Femelle</term><term>Fils métalliques</term><term>Humains</term><term>Mandibule</term><term>Mâchoire édentée</term><term>Mâle</term><term>Procédures de chirurgie maxillofaciale et buccodentaire</term><term>Sténose carotidienne</term><term>Sujet âgé</term><term>Vis orthopédiques</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Four patients with high internal carotid artery (ICA) occlusive disease were indicated for surgical endarterectomy and needed additional exposure besides regular head rotation and extension. When indicated, in our clinic this is usually achieved by mandibular subluxation with interdental wiring. Due to dental wear and periodontal disease, all 4 patients were edentulous. As a consequence, the technique of interdental wiring could not be used. In this technical note we will explain a method for interarch fixation with the use of two ipsilateral monocortical miniscrews and wiring, and the use of patients' pre-existing mandibular implants and provisional overdenture. This method gives rise to an additional exposure of 15 to 20 mm of the ICA.</div></front></TEI><affiliations><list><country><li>Pays-Bas</li></country><region><li>Groningue (province)</li></region><settlement><li>Groningue</li></settlement></list><tree><noCountry><name sortKey="Reintsema, Harry" sort="Reintsema, Harry" uniqKey="Reintsema H" first="Harry" last="Reintsema">Harry Reintsema</name><name sortKey="Van Den Dungen, Jan J" sort="Van Den Dungen, Jan J" uniqKey="Van Den Dungen J" first="Jan J" last="Van Den Dungen">Jan J. Van Den Dungen</name><name sortKey="Witjes, Max J" sort="Witjes, Max J" uniqKey="Witjes M" first="Max J" last="Witjes">Max J. Witjes</name><name sortKey="Zeebregts, Clark J" sort="Zeebregts, Clark J" uniqKey="Zeebregts C" first="Clark J" last="Zeebregts">Clark J. Zeebregts</name></noCountry><country name="Pays-Bas"><region name="Groningue (province)"><name sortKey="Jaspers, Gijs W" sort="Jaspers, Gijs W" uniqKey="Jaspers G" first="Gijs W" last="Jaspers">Gijs W. 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