Document Detail

Mandibular subluxation stabilized by mouthpiece for distal internal carotid artery exposure in carotid endarterectomy.
MedLine Citation:
PMID:  20655685     Owner:  NLM     Status:  MEDLINE    
The standard approach for carotid endarterectomy cannot provide adequate exposure of the distal internal carotid artery in the presence of high cervical carotid bifurcation or high plaque. Limited accessibility of the distal internal carotid artery has resulted in the development of various operative techniques. Mandibular subluxation is the most simple and least invasive technique, but it does require invasive maneuvers, such as wiring, to stabilize the mandible. We use a mouthpiece made by the dentist to stabilize the mandible in the physiologic subluxated position. This technique provides an adequate exposure of the distal internal carotid artery as with the other methods, and the risk of morbidity is very low.
Masanori Yoshino; Hiroshi Fukumoto; Tohru Mizutani; Ryuji Yuyama; Takayuki Hara
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Publication Detail:
Type:  Journal Article     Date:  2010-07-23
Journal Detail:
Title:  Journal of vascular surgery     Volume:  52     ISSN:  1097-6809     ISO Abbreviation:  J. Vasc. Surg.     Publication Date:  2010 Nov 
Date Detail:
Created Date:  2010-11-05     Completed Date:  2010-12-10     Revised Date:  2012-10-03    
Medline Journal Info:
Nlm Unique ID:  8407742     Medline TA:  J Vasc Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1401-4     Citation Subset:  IM    
Copyright Information:
Copyright © 2010 Society for Vascular Surgery. Published by Mosby, Inc. All rights reserved.
Department of Neurosurgery, Tokyo Metropolitan Tama Medical Center, Tokyo, Japan.
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MeSH Terms
Carotid Artery, Internal / surgery*
Dislocations / physiopathology*
Endarterectomy, Carotid / instrumentation*
Equipment Design
Joint Instability / prevention & control*
Mandible / physiopathology*
Mouth Protectors*
Temporomandibular Joint / physiopathology*
Treatment Outcome
Comment In:
J Vasc Surg. 2011 Mar;53(3):883; author reply 883-4   [PMID:  21338855 ]

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

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