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Mandibular subluxation for distal internal carotid artery exposure in edentulous patients.

Identifieur interne : 001B45 ( PubMed/Corpus ); précédent : 001B44; suivant : 001B46

Mandibular subluxation for distal internal carotid artery exposure in edentulous patients.

Auteurs : Gijs W. Jaspers ; Max J. Witjes ; Jan J. Van Den Dungen ; Harry Reintsema ; Clark J. Zeebregts

Source :

RBID : pubmed:19782520

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.

DOI: 10.1016/j.jvs.2009.07.068
PubMed: 19782520

Links to Exploration step

pubmed:19782520

Le document en format XML

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<name sortKey="Jaspers, Gijs W" sort="Jaspers, Gijs W" uniqKey="Jaspers G" first="Gijs W" last="Jaspers">Gijs W. Jaspers</name>
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<nlm:affiliation>Department of Oral and Maxillofacial Surgery, University Medical Center Groningen, Groningen, The Netherlands.</nlm:affiliation>
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<name sortKey="Witjes, Max J" sort="Witjes, Max J" uniqKey="Witjes M" first="Max J" last="Witjes">Max J. Witjes</name>
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<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>
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<name sortKey="Reintsema, Harry" sort="Reintsema, Harry" uniqKey="Reintsema H" first="Harry" last="Reintsema">Harry Reintsema</name>
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<name sortKey="Zeebregts, Clark J" sort="Zeebregts, Clark J" uniqKey="Zeebregts C" first="Clark J" last="Zeebregts">Clark J. Zeebregts</name>
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<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>
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<name sortKey="Zeebregts, Clark J" sort="Zeebregts, Clark J" uniqKey="Zeebregts C" first="Clark J" last="Zeebregts">Clark J. Zeebregts</name>
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<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>
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<term>Oral Surgical Procedures</term>
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<term>Carotid Artery, Internal</term>
<term>Carotid Stenosis</term>
<term>Jaw, Edentulous</term>
<term>Mandible</term>
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<term>Aged</term>
<term>Bone Screws</term>
<term>Bone Wires</term>
<term>Endarterectomy, Carotid</term>
<term>Female</term>
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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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<Title>Journal of vascular surgery</Title>
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<AbstractText>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.</AbstractText>
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