Document Detail


Mandibular subluxation for distal internal carotid artery exposure in edentulous patients.
MedLine Citation:
PMID:  19782520     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
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.
Authors:
Gijs W Jaspers; Max J Witjes; Jan J van den Dungen; Harry Reintsema; Clark J Zeebregts
Publication Detail:
Type:  Journal Article     Date:  2009-09-26
Journal Detail:
Title:  Journal of vascular surgery : official publication, the Society for Vascular Surgery [and] International Society for Cardiovascular Surgery, North American Chapter     Volume:  50     ISSN:  1097-6809     ISO Abbreviation:  J. Vasc. Surg.     Publication Date:  2009 Dec 
Date Detail:
Created Date:  2009-12-04     Completed Date:  2009-12-21     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8407742     Medline TA:  J Vasc Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1519-22     Citation Subset:  IM    
Affiliation:
Department of Oral and Maxillofacial Surgery, University Medical Center Groningen, Groningen, The Netherlands.
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MeSH Terms
Descriptor/Qualifier:
Aged
Bone Screws
Bone Wires
Carotid Artery, Internal / surgery*
Carotid Stenosis / complications,  surgery*
Endarterectomy, Carotid*
Female
Humans
Jaw, Edentulous / complications,  surgery*
Male
Mandible / surgery*
Middle Aged
Oral Surgical Procedures* / instrumentation

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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