| Mandibular subluxation stabilized by mouthpiece for distal internal carotid artery exposure in carotid endarterectomy. | |
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MedLine Citation:
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PMID: 20655685 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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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. |
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Authors:
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Masanori Yoshino; Hiroshi Fukumoto; Tohru Mizutani; Ryuji Yuyama; Takayuki Hara |
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Publication Detail:
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Type: Journal Article Date: 2010-07-23 |
Journal Detail:
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Title: Journal of vascular surgery : official publication, the Society for Vascular Surgery [and] International Society for Cardiovascular Surgery, North American Chapter Volume: 52 ISSN: 1097-6809 ISO Abbreviation: J. Vasc. Surg. Publication Date: 2010 Nov |
Date Detail:
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Created Date: 2010-11-05 Completed Date: 2010-12-10 Revised Date: 2011-03-28 |
Medline Journal Info:
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Nlm Unique ID: 8407742 Medline TA: J Vasc Surg Country: United States |
Other Details:
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Languages: eng Pagination: 1401-4 Citation Subset: IM |
Copyright Information:
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Copyright © 2010 Society for Vascular Surgery. Published by Mosby, Inc. All rights reserved. |
Affiliation:
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Department of Neurosurgery, Tokyo Metropolitan Tama Medical Center, Tokyo, Japan. ymasa-tky@umin.ac.jp |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Carotid Artery, Internal
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surgery* Dislocations / physiopathology* Endarterectomy, Carotid / instrumentation* Equipment Design Humans Joint Instability / prevention & control* Mandible / physiopathology* Mouth Protectors* Temporomandibular Joint / physiopathology* Treatment Outcome |
| Comments/Corrections | |
Comment In:
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J Vasc Surg. 2011 Mar;53(3):883; author reply 883-4
[PMID:
21338855
]
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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