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Mandibular subluxation for distal internal carotid artery exposure in edentulous patients

Identifieur interne : 005D41 ( Main/Exploration ); précédent : 005D40; suivant : 005D42

Mandibular subluxation for distal internal carotid artery exposure in edentulous patients

Auteurs : Gijs W. Jaspers [États-Unis] ; Max J. Witjes [États-Unis] ; Jan J. Van Den Dungen [États-Unis] ; Harry Reintsema [États-Unis] ; Clark J. Zeebregts [États-Unis]

Source :

RBID : Pascal:10-0041814

Descripteurs français

English descriptors

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.


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Le document en format XML

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<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>
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