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Short retromandibular approach of subcondylar fractures

Identifieur interne : 00A236 ( Main/Exploration ); précédent : 00A235; suivant : 00A237

Short retromandibular approach of subcondylar fractures

Auteurs : Cyrille Chossegros [France] ; François Cheynet [France] ; Jean-Louis Blanc [France] ; Zoubir Bourezak [France]

Source :

RBID : ISTEX:BC618052D6B5627BEF3BB21D5CB9B8C20DFDC87B

English descriptors

Abstract

Abstract: ObjectiveThe classic technique for open reduction of subcondylar fracture is the submandibular approach. The aim of this study was to evaluate long-term clinical and radiologic results of the short retromandibular approach to displaced subcondylar fractures.Material/MethodsDuring a period of 66 months we performed a prospective study with a modified version of the retromandibular approach in 38 patients with displaced subcondylar fractures. In this article we describe clinical and radiologic results in 19 patients with follow-ups longer than 6 months (range, 6 to 66 months). Preoperatively all patients had malocclusion and radiology demonstrated displacement.ResultsThe retromandibular surgical approach was successful in all cases. Roughly 25 months after surgery, mouth opening was 43 mm with symmetric laterotrusive movements. Permanent marginal nerve palsy was never observed.ConclusionsOur findings indicate that the short retromandibular approach is an easy and safe technique for displaced subcondylar fractures.

Url:
DOI: 10.1016/S1079-2104(96)80347-7


Affiliations:


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Le document en format XML

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<term>Retromandibular approach</term>
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<div type="abstract" xml:lang="en">Abstract: ObjectiveThe classic technique for open reduction of subcondylar fracture is the submandibular approach. The aim of this study was to evaluate long-term clinical and radiologic results of the short retromandibular approach to displaced subcondylar fractures.Material/MethodsDuring a period of 66 months we performed a prospective study with a modified version of the retromandibular approach in 38 patients with displaced subcondylar fractures. In this article we describe clinical and radiologic results in 19 patients with follow-ups longer than 6 months (range, 6 to 66 months). Preoperatively all patients had malocclusion and radiology demonstrated displacement.ResultsThe retromandibular surgical approach was successful in all cases. Roughly 25 months after surgery, mouth opening was 43 mm with symmetric laterotrusive movements. Permanent marginal nerve palsy was never observed.ConclusionsOur findings indicate that the short retromandibular approach is an easy and safe technique for displaced subcondylar fractures.</div>
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