Usefulness of a high perimandibular approach for open reduction and internal fixation of mandibular condyle fractures

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  • NAKAOKA Kazutoshi
    Department of Oral and Maxillofacial Surgery, School of Dental Medicine, Tsurumi University
  • YAMADA Hiroyuki
    Division of Oral Maxillofacial Surgery, Department of Reconstructive Oral and Maxillofacial Surgery, School of Dentistry, Iwate Medical University
  • HORIUCHI Toshikatsu
    Department of Oral and Maxillofacial Surgery, Saiseikai Yokohamashi Tobu Hospital
  • NAKAJIMA Toshifumi
    Department of Oral and Maxillofacial Surger y, The Kanagawa Prefectural Federation of Agricultural Cooperatives for Health and Welfare Sagamihara Kyodo Hospital
  • NAKATANI Hayaki
    Department of Oral and Maxillofacial Surgery, Yokohama Rosai Hospital
  • HAMADA Yoshiki
    Department of Oral and Maxillofacial Surgery, School of Dental Medicine, Tsurumi University

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Other Title
  • 下顎骨関節突起骨折の観血的整復固定術におけるhigh perimandibular approarchの有用性
  • 下顎骨関節突起骨折の観血的整復固定術におけるhigh perimandibular approachの有用性
  • カガクコツ カンセツ トッキ コッセツ ノ カン ケツテキ セイフク コテイジュツ ニ オケル high perimandibular approach ノ ユウヨウセイ

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<p>This paper introduces a high perimandibular approach for open reduction and internal fixation (ORIF) of condylar fractures and describes its clinical usefulness. This technique is a via-masseter approach to the condylar region via a skin incision along with the inferior outline of the mandible. It was reported that this technique has a lower risk of facial nerve disturbance and provides good accessibility to the fracture site. Eleven patients with 11 condylar fractures underwent ORIF by the present approach. Correct ORIF with good accessibility was achieved in all patients, and no facial nerve disturbance occurred. Moreover, all patients were satisfied with the appearance of their surgical scars and recovered to a normal range of mouth opening.</p><p>　In conclusion, ORIF of condylar fractures using a high perimandibular approach seems to be a safe and predictable technique that provides excellent clinical results.</p>

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