Treatment of extensive comminuted mandibular fracture between both mandibular angles with bilateral condylar fractures using a reconstruction plate: a case report
Identifieur interne : 005310 ( Ncbi/Merge ); précédent : 005309; suivant : 005311Treatment of extensive comminuted mandibular fracture between both mandibular angles with bilateral condylar fractures using a reconstruction plate: a case report
Auteurs : Kwonwoo Lee [Corée du Sud] ; Kyuho Yoon [Corée du Sud] ; Kwan-Soo Park [Corée du Sud] ; Jeongkwon Cheong [Corée du Sud] ; Jaemyung Shin [Corée du Sud] ; Jungho Bae [Corée du Sud] ; Inchan Ko [Corée du Sud] ; Hyungkoo Park [Corée du Sud]Source :
- Journal of the Korean Association of Oral and Maxillofacial Surgeons [ 2234-7550 ] ; 2014.
Abstract
This following case report describes the open reduction, internal fixation and the reconstruction of an extensive comminuted mandibular fracture with bilateral condylar fractures in a 19-year-old male patient with an intellectual disability and autistic disorder. He suffered fall trauma, resulting in shattered bony fragments of the alveolus and mandibular body between both mandibular rami, the fracture of both condyles and the avulsion or dislocation of every posterior tooth of the mandible. The patient underwent open reduction and internal fixation between both mandibular rami using a reconstruction plate, open reduction and internal fixation of the shattered fragments using miniplates and screws, and the closed reduction of the bilateral condylar fractures.
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DOI: 10.5125/jkaoms.2014.40.3.135
PubMed: 25045641
PubMed Central: 4095810
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Yoon</name><affiliation wicri:level="3"><nlm:aff id="A1">Department of Oral and Maxillofacial Surgery, Inje University College of Medicine, Sanggye Paik Hospital, Seoul, Korea.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Corée du Sud</country><wicri:regionArea>Department of Oral and Maxillofacial Surgery, Inje University College of Medicine, Sanggye Paik Hospital, Seoul</wicri:regionArea><placeName><settlement type="city">Séoul</settlement><region type="capital">Région capitale de Séoul</region></placeName></affiliation></author><author><name sortKey="Park, Kwan Soo" sort="Park, Kwan Soo" uniqKey="Park K" first="Kwan-Soo" last="Park">Kwan-Soo Park</name><affiliation wicri:level="3"><nlm:aff id="A1">Department of Oral and Maxillofacial Surgery, Inje University College of Medicine, Sanggye Paik Hospital, Seoul, Korea.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Corée du Sud</country><wicri:regionArea>Department of Oral and Maxillofacial Surgery, Inje University College of 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type="city">Séoul</settlement><region type="capital">Région capitale de Séoul</region></placeName></affiliation></author><author><name sortKey="Ko, Inchan" sort="Ko, Inchan" uniqKey="Ko I" first="Inchan" last="Ko">Inchan Ko</name><affiliation wicri:level="3"><nlm:aff id="A1">Department of Oral and Maxillofacial Surgery, Inje University College of Medicine, Sanggye Paik Hospital, Seoul, Korea.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Corée du Sud</country><wicri:regionArea>Department of Oral and Maxillofacial Surgery, Inje University College of Medicine, Sanggye Paik Hospital, Seoul</wicri:regionArea><placeName><settlement type="city">Séoul</settlement><region type="capital">Région capitale de Séoul</region></placeName></affiliation></author><author><name sortKey="Park, Hyungkoo" sort="Park, Hyungkoo" uniqKey="Park H" first="Hyungkoo" last="Park">Hyungkoo Park</name><affiliation wicri:level="3"><nlm:aff id="A1">Department of Oral and Maxillofacial Surgery, Inje University College of Medicine, Sanggye Paik Hospital, Seoul, Korea.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Corée du Sud</country><wicri:regionArea>Department of Oral and Maxillofacial Surgery, Inje University College of Medicine, Sanggye Paik Hospital, Seoul</wicri:regionArea><placeName><settlement type="city">Séoul</settlement><region type="capital">Région capitale de Séoul</region></placeName></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">25045641</idno><idno type="pmc">4095810</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4095810</idno><idno type="RBID">PMC:4095810</idno><idno type="doi">10.5125/jkaoms.2014.40.3.135</idno><date when="2014">2014</date><idno type="wicri:Area/Pmc/Corpus">001E60</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">001E60</idno><idno type="wicri:Area/Pmc/Curation">001E60</idno><idno type="wicri:explorRef" wicri:stream="Pmc" 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Seoul</wicri:regionArea><placeName><settlement type="city">Séoul</settlement><region type="capital">Région capitale de Séoul</region></placeName></affiliation></author><author><name sortKey="Yoon, Kyuho" sort="Yoon, Kyuho" uniqKey="Yoon K" first="Kyuho" last="Yoon">Kyuho Yoon</name><affiliation wicri:level="3"><nlm:aff id="A1">Department of Oral and Maxillofacial Surgery, Inje University College of Medicine, Sanggye Paik Hospital, Seoul, Korea.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Corée du Sud</country><wicri:regionArea>Department of Oral and Maxillofacial Surgery, Inje University College of Medicine, Sanggye Paik Hospital, Seoul</wicri:regionArea><placeName><settlement type="city">Séoul</settlement><region type="capital">Région capitale de Séoul</region></placeName></affiliation></author><author><name sortKey="Park, Kwan Soo" sort="Park, Kwan Soo" uniqKey="Park K" first="Kwan-Soo" last="Park">Kwan-Soo Park</name><affiliation wicri:level="3"><nlm:aff id="A1">Department of Oral and Maxillofacial Surgery, Inje University College of Medicine, Sanggye Paik Hospital, Seoul, Korea.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Corée du Sud</country><wicri:regionArea>Department of Oral and Maxillofacial Surgery, Inje University College of Medicine, Sanggye Paik Hospital, Seoul</wicri:regionArea><placeName><settlement type="city">Séoul</settlement><region type="capital">Région capitale de Séoul</region></placeName></affiliation></author><author><name sortKey="Cheong, Jeongkwon" sort="Cheong, Jeongkwon" uniqKey="Cheong J" first="Jeongkwon" last="Cheong">Jeongkwon Cheong</name><affiliation wicri:level="3"><nlm:aff id="A1">Department of Oral and Maxillofacial Surgery, Inje University College of Medicine, Sanggye Paik Hospital, Seoul, Korea.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Corée du Sud</country><wicri:regionArea>Department of Oral and Maxillofacial Surgery, Inje University College of Medicine, Sanggye Paik Hospital, Seoul</wicri:regionArea><placeName><settlement type="city">Séoul</settlement><region type="capital">Région capitale de Séoul</region></placeName></affiliation></author><author><name sortKey="Shin, Jaemyung" sort="Shin, Jaemyung" uniqKey="Shin J" first="Jaemyung" last="Shin">Jaemyung Shin</name><affiliation wicri:level="1"><nlm:aff id="A2">Department of Oral and Maxillofacial Surgery, Inje University College of Medicine, Ilsan Paik Hospital, Goyang, Korea.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Corée du Sud</country><wicri:regionArea>Department of Oral and Maxillofacial Surgery, Inje University College of Medicine, Ilsan Paik Hospital, Goyang</wicri:regionArea><wicri:noRegion>Goyang</wicri:noRegion></affiliation></author><author><name sortKey="Bae, Jungho" sort="Bae, Jungho" uniqKey="Bae J" first="Jungho" last="Bae">Jungho Bae</name><affiliation wicri:level="3"><nlm:aff id="A1">Department of Oral and Maxillofacial Surgery, Inje University College of Medicine, Sanggye Paik Hospital, Seoul, Korea.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Corée du Sud</country><wicri:regionArea>Department of Oral and Maxillofacial Surgery, Inje University College of Medicine, Sanggye Paik Hospital, Seoul</wicri:regionArea><placeName><settlement type="city">Séoul</settlement><region type="capital">Région capitale de Séoul</region></placeName></affiliation></author><author><name sortKey="Ko, Inchan" sort="Ko, Inchan" uniqKey="Ko I" first="Inchan" last="Ko">Inchan Ko</name><affiliation wicri:level="3"><nlm:aff id="A1">Department of Oral and Maxillofacial Surgery, Inje University College of Medicine, Sanggye Paik Hospital, Seoul, Korea.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Corée du Sud</country><wicri:regionArea>Department of Oral and Maxillofacial Surgery, Inje University College of Medicine, Sanggye Paik Hospital, Seoul</wicri:regionArea><placeName><settlement type="city">Séoul</settlement><region type="capital">Région capitale de Séoul</region></placeName></affiliation></author><author><name sortKey="Park, Hyungkoo" sort="Park, Hyungkoo" uniqKey="Park H" first="Hyungkoo" last="Park">Hyungkoo Park</name><affiliation wicri:level="3"><nlm:aff id="A1">Department of Oral and Maxillofacial Surgery, Inje University College of Medicine, Sanggye Paik Hospital, Seoul, Korea.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Corée du Sud</country><wicri:regionArea>Department of Oral and Maxillofacial Surgery, Inje University College of Medicine, Sanggye Paik Hospital, Seoul</wicri:regionArea><placeName><settlement type="city">Séoul</settlement><region type="capital">Région capitale de Séoul</region></placeName></affiliation></author></analytic><series><title level="j">Journal of the Korean Association of Oral and Maxillofacial Surgeons</title><idno type="ISSN">2234-7550</idno><idno type="eISSN">2234-5930</idno><imprint><date when="2014">2014</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p>This following case report describes the open reduction, internal fixation and the reconstruction of an extensive comminuted mandibular fracture with bilateral condylar fractures in a 19-year-old male patient with an intellectual disability and autistic disorder. He suffered fall trauma, resulting in shattered bony fragments of the alveolus and mandibular body between both mandibular rami, the fracture of both condyles and the avulsion or dislocation of every posterior tooth of the mandible. The patient underwent open reduction and internal fixation between both mandibular rami using a reconstruction plate, open reduction and internal fixation of the shattered fragments using miniplates and screws, and the closed reduction of the bilateral condylar fractures.</p></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Finn, Ra" uniqKey="Finn R">RA Finn</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Chrcanovic, Br" uniqKey="Chrcanovic B">BR Chrcanovic</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Li, Z" uniqKey="Li Z">Z Li</name></author><author><name sortKey="Li, Zb" uniqKey="Li Z">ZB Li</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Alpert, B" uniqKey="Alpert B">B Alpert</name></author><author><name sortKey="Tiwana, Ps" uniqKey="Tiwana P">PS Tiwana</name></author><author><name sortKey="Kushner, Gm" uniqKey="Kushner G">GM Kushner</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Smith, Br" uniqKey="Smith B">BR Smith</name></author><author><name sortKey="Teenier, Tj" uniqKey="Teenier T">TJ Teenier</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Kazanjian, Vh" uniqKey="Kazanjian V">VH Kazanjian</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Ellis, E" uniqKey="Ellis E">E Ellis</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Zachariades, N" uniqKey="Zachariades N">N Zachariades</name></author><author><name sortKey="Mezitis, M" uniqKey="Mezitis M">M Mezitis</name></author><author><name sortKey="Mourouzis, C" uniqKey="Mourouzis C">C Mourouzis</name></author><author><name sortKey="Papadakis, D" uniqKey="Papadakis D">D Papadakis</name></author><author><name sortKey="Spanou, A" uniqKey="Spanou A">A Spanou</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Maclennan, Wd" uniqKey="Maclennan W">WD MacLennan</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Marker, P" uniqKey="Marker P">P Marker</name></author><author><name sortKey="Nielsen, A" uniqKey="Nielsen A">A Nielsen</name></author><author><name sortKey="Bastian, Hl" uniqKey="Bastian H">HL Bastian</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Lindahl, L" uniqKey="Lindahl L">L Lindahl</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Choi, Ky" uniqKey="Choi K">KY Choi</name></author><author><name sortKey="Yang, Jd" uniqKey="Yang J">JD Yang</name></author><author><name sortKey="Chung, Hy" uniqKey="Chung H">HY Chung</name></author><author><name sortKey="Cho, Bc" uniqKey="Cho B">BC Cho</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Dahlstrom, L" uniqKey="Dahlstrom L">L Dahlström</name></author><author><name sortKey="Kahnberg, Ke" uniqKey="Kahnberg K">KE Kahnberg</name></author><author><name sortKey="Lindahl, L" uniqKey="Lindahl L">L Lindahl</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Ellis, E" uniqKey="Ellis E">E Ellis</name></author><author><name sortKey="Throckmorton, Gs" uniqKey="Throckmorton G">GS Throckmorton</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Beekler, Dm" uniqKey="Beekler D">DM Beekler</name></author><author><name sortKey="Walker, Rv" uniqKey="Walker R">RV Walker</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Pereira, Cc" uniqKey="Pereira C">CC Pereira</name></author><author><name sortKey="Leticiados Santos, P" uniqKey="Leticiados Santos P">P LetíciaDos Santos </name></author><author><name sortKey="Jardim, Ec" uniqKey="Jardim E">EC Jardim</name></author><author><name sortKey="Junior, Ir" uniqKey="Junior I">IR Júnior</name></author><author><name sortKey="Shinohara, Eh" uniqKey="Shinohara E">EH Shinohara</name></author><author><name sortKey="Araujo, Mm" uniqKey="Araujo M">MM Araujo</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Collins, Cp" uniqKey="Collins C">CP Collins</name></author><author><name sortKey="Pirinjian Leonard, G" uniqKey="Pirinjian Leonard G">G Pirinjian-Leonard</name></author><author><name sortKey="Tolas, A" uniqKey="Tolas A">A Tolas</name></author><author><name sortKey="Alcalde, R" uniqKey="Alcalde R">R Alcalde</name></author></analytic></biblStruct></listBibl></div1></back></TEI><pmc article-type="case-report"><pmc-dir>properties open_access</pmc-dir>
<front><journal-meta><journal-id journal-id-type="nlm-ta">J Korean Assoc Oral Maxillofac Surg</journal-id><journal-id journal-id-type="iso-abbrev">J Korean Assoc Oral Maxillofac Surg</journal-id><journal-id journal-id-type="publisher-id">JKAOMS</journal-id><journal-title-group><journal-title>Journal of the Korean Association of Oral and Maxillofacial Surgeons</journal-title></journal-title-group><issn pub-type="ppub">2234-7550</issn><issn pub-type="epub">2234-5930</issn><publisher><publisher-name>The Korean Association of Oral and Maxillofacial Surgeons</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="pmid">25045641</article-id><article-id pub-id-type="pmc">4095810</article-id><article-id pub-id-type="doi">10.5125/jkaoms.2014.40.3.135</article-id><article-categories><subj-group subj-group-type="heading"><subject>Case Report</subject></subj-group></article-categories><title-group><article-title>Treatment of extensive comminuted mandibular fracture between both mandibular angles with bilateral condylar fractures using a reconstruction plate: a case report</article-title></title-group><contrib-group><contrib contrib-type="author"><name><surname>Lee</surname><given-names>Kwonwoo</given-names></name><xref ref-type="aff" rid="A1">1</xref></contrib><contrib contrib-type="author"><name><surname>Yoon</surname><given-names>Kyuho</given-names></name><xref ref-type="aff" rid="A1">1</xref></contrib><contrib contrib-type="author" corresp="yes"><name><surname>Park</surname><given-names>Kwan-Soo</given-names></name><xref ref-type="aff" rid="A1">1</xref></contrib><contrib contrib-type="author"><name><surname>Cheong</surname><given-names>Jeongkwon</given-names></name><xref ref-type="aff" rid="A1">1</xref></contrib><contrib contrib-type="author"><name><surname>Shin</surname><given-names>Jaemyung</given-names></name><xref ref-type="aff" rid="A2">2</xref></contrib><contrib contrib-type="author"><name><surname>Bae</surname><given-names>Jungho</given-names></name><xref ref-type="aff" rid="A1">1</xref></contrib><contrib contrib-type="author"><name><surname>Ko</surname><given-names>Inchan</given-names></name><xref ref-type="aff" rid="A1">1</xref></contrib><contrib contrib-type="author"><name><surname>Park</surname><given-names>Hyungkoo</given-names></name><xref ref-type="aff" rid="A1">1</xref></contrib></contrib-group><aff id="A1"><label>1</label>Department of Oral and Maxillofacial Surgery, Inje University College of Medicine, Sanggye Paik Hospital, Seoul, Korea.</aff><aff id="A2"><label>2</label>Department of Oral and Maxillofacial Surgery, Inje University College of Medicine, Ilsan Paik Hospital, Goyang, Korea.</aff><author-notes><corresp>Corresponding author: Kwan-Soo Park. Department of Oral and Maxillofacial Surgery, Inje University Sanggye Paik Hospital, 1342, Dongil-ro, Nowon-gu, Seoul 139-707, Korea. TEL: +82-2-950-1161, FAX: +82-2-950-1167, <email>OMS_kspark@paik.ac.kr</email></corresp></author-notes><pub-date pub-type="ppub"><month>6</month><year>2014</year></pub-date><pub-date pub-type="epub"><day>27</day><month>6</month><year>2014</year></pub-date><volume>40</volume><issue>3</issue><fpage>135</fpage><lpage>139</lpage><history><date date-type="received"><day>27</day><month>3</month><year>2014</year></date><date date-type="rev-recd"><day>09</day><month>5</month><year>2014</year></date><date date-type="accepted"><day>22</day><month>5</month><year>2014</year></date></history><permissions><copyright-statement>Copyright © 2014 The Korean Association of Oral and Maxillofacial Surgeons. All rights reserved.</copyright-statement><copyright-year>2014</copyright-year><license license-type="open-access" xlink:href="http://creativecommons.org/licenses/by-nc/3.0/"><license-p>This is an open-access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (<ext-link ext-link-type="uri" xlink:href="http://creativecommons.org/licenses/by-nc/3.0/">http://creativecommons.org/licenses/by-nc/3.0/</ext-link>) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.</license-p></license></permissions><abstract><p>This following case report describes the open reduction, internal fixation and the reconstruction of an extensive comminuted mandibular fracture with bilateral condylar fractures in a 19-year-old male patient with an intellectual disability and autistic disorder. He suffered fall trauma, resulting in shattered bony fragments of the alveolus and mandibular body between both mandibular rami, the fracture of both condyles and the avulsion or dislocation of every posterior tooth of the mandible. The patient underwent open reduction and internal fixation between both mandibular rami using a reconstruction plate, open reduction and internal fixation of the shattered fragments using miniplates and screws, and the closed reduction of the bilateral condylar fractures.</p></abstract><kwd-group><kwd>Fractures</kwd><kwd>Comminuted</kwd><kwd>Mandibular fractures</kwd><kwd>Fracture fixation</kwd></kwd-group></article-meta></front><floats-group><fig id="F1" orientation="portrait" position="float"><label>Fig. 1</label><caption><p>Preoperative images of computed tomography axial view and three-dimensional reconstruction view. There are scattered fragments of mandible andposterior teeth.</p></caption><graphic xlink:href="jkaoms-40-135-g001"></graphic></fig><fig id="F2" orientation="portrait" position="float"><label>Fig. 2</label><caption><p>Intraoperative photo showing a reconstruction plate, miniplates and screws used for internal fixationand steel wires used for maxillomandibular fixation.</p></caption><graphic xlink:href="jkaoms-40-135-g002"></graphic></fig><fig id="F3" orientation="portrait" position="float"><label>Fig. 3</label><caption><p>At postoperative 6 week follow-up, 23 mm of mouth opening was measured.</p></caption><graphic xlink:href="jkaoms-40-135-g003"></graphic></fig><fig id="F4" orientation="portrait" position="float"><label>Fig. 4</label><caption><p>Extraroal photograph of the 6-weeks after the surgery showing favorable healing of soft tissue.</p></caption><graphic xlink:href="jkaoms-40-135-g004"></graphic></fig><fig id="F5" orientation="portrait" position="float"><label>Fig. 5</label><caption><p>Posterior-anterior view image of the 10-weeks after operation. Signs of non-union were not found.</p></caption><graphic xlink:href="jkaoms-40-135-g005"></graphic></fig></floats-group></pmc><affiliations><list><country><li>Corée du Sud</li></country><region><li>Région capitale de Séoul</li></region><settlement><li>Séoul</li></settlement></list><tree><country name="Corée du Sud"><region name="Région capitale de Séoul"><name sortKey="Lee, Kwonwoo" sort="Lee, Kwonwoo" uniqKey="Lee K" first="Kwonwoo" last="Lee">Kwonwoo Lee</name></region><name sortKey="Bae, Jungho" sort="Bae, Jungho" uniqKey="Bae J" first="Jungho" last="Bae">Jungho Bae</name><name sortKey="Cheong, Jeongkwon" sort="Cheong, Jeongkwon" uniqKey="Cheong J" first="Jeongkwon" last="Cheong">Jeongkwon Cheong</name><name sortKey="Ko, Inchan" sort="Ko, Inchan" uniqKey="Ko I" first="Inchan" last="Ko">Inchan Ko</name><name sortKey="Park, Hyungkoo" sort="Park, Hyungkoo" uniqKey="Park H" first="Hyungkoo" last="Park">Hyungkoo Park</name><name sortKey="Park, Kwan Soo" sort="Park, Kwan Soo" uniqKey="Park K" first="Kwan-Soo" last="Park">Kwan-Soo Park</name><name sortKey="Shin, Jaemyung" sort="Shin, Jaemyung" uniqKey="Shin J" first="Jaemyung" last="Shin">Jaemyung Shin</name><name sortKey="Yoon, Kyuho" sort="Yoon, Kyuho" uniqKey="Yoon K" first="Kyuho" last="Yoon">Kyuho Yoon</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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