翻訳論文:関節突起骨折に対するインスブルック医科大学方式によるretromandibular anterior trans-parotidアプローチ:39関節の後方視的検討

DOI

書誌事項

タイトル別名
  • Innsbruck-style retromandibular anterior trans-parotid approach for condylar fractures: A retrospective review of 39 fractures

抄録

The retromandibular anterior trans-parotid (RAT) approach and a triangular-positioned double mini-plate osteosynthesis (TDO) technique have been reported from Innsbruck Medical University. This minimally invasive technique involves direct visualization of the condyle and is associated with lower incidence of facial palsy. A retrospective review was performed on the RAT approach and TDO technique conducted by a surgeon and team at two hospitals in Tokyo during a 3-year 10-month period. This technique was performed on 35 patients with 39 condylar fractures. Sixty-nine percent of cases were due to accidental fall, 17% to traffic accidents, and 9% to sports. Further, 92% cases were condylar base fractures. Ninety-seven percent of cases achieved good occlusion. The mean maximum mouth opening was 49 ± 1.3mm. Postoperatively, facial palsy developed in three patients (7.7%), and two of them developed Frey syndrome at approximately postoperative 30 months (5.1%). All patients completely recovered within postoperative 3 months. One case each of salivary fistula, visible scar, and condylar resorption was found (2.6%). No case of massive bleeding during surgery, hematoma, or TMJ pain after surgery was found. This technique could achieve good occlusion with low incidence of complications. and could contribute to the early social reintegration of patients.

収録刊行物

詳細情報 詳細情報について

  • CRID
    1390299673816833152
  • DOI
    10.11277/stomatology.73.1
  • ISSN
    21850461
    00290297
  • 本文言語コード
    ja
  • データソース種別
    • JaLC
  • 抄録ライセンスフラグ
    使用不可

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