| The retromandibular transparotid approach: Our clinical experience. | |
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MedLine Citation:
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PMID: 21306910 Owner: NLM Status: Publisher |
Abstract/OtherAbstract:
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INTRODUCTION: Mandibular condylar fractures are very common. There is general agreement that an intracapsular fracture requires conservative treatment, but the treatment of extra-capsular fractures is controversial. Extraoral approaches have different advantages and disadvantages. The possibility of damage to the facial nerve is always present but, in our experience, always recovers in a short time. MATERIALS AND METHODS: From June 2008 to June 2009, we admitted 25 patients with mandibular condylar fractures to our department. Nineteen patients received a retromandibular transparotid approach to identify and stabilize the condylar fracture site. None of them developed infection. SURGICAL TECHNIQUE: A 2cm incision extending in the retromandibular hollow is the first step. Initial dissection in a forward and upward in the direction of the SMAS layer is mandatory to gain good mobility of the soft tissue flaps. Blunt dissection through the parotid gland is performed between the marginal and buccal branches of the facial nerve. Periosteal elevation of all the lateral surface of the mandible provides good exposure of the bony surfaces and mobilization of the soft tissues. CONCLUSIONS: We believe that this approach is a safe and time sparing alternative to the intraoral endoscopic approach. |
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Authors:
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Riccardo Girotto; Paolo Mancini; Paolo Balercia |
Publication Detail:
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Type: JOURNAL ARTICLE Date: 2011-2-7 |
Journal Detail:
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Title: Journal of cranio-maxillo-facial surgery : official publication of the European Association for Cranio-Maxillo-Facial Surgery Volume: - ISSN: 1878-4119 ISO Abbreviation: - Publication Date: 2011 Feb |
Date Detail:
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Created Date: 2011-2-10 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 8704309 Medline TA: J Craniomaxillofac Surg Country: - |
Other Details:
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Languages: ENG Pagination: - Citation Subset: - |
Copyright Information:
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Copyright © 2011 European Association for Cranio-Maxillo-Facial Surgery. Published by Elsevier Ltd. All rights reserved. |
Affiliation:
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Maxillofacial Surgery Department (Head: Dr. Paolo Balercia, M.D., D.D.S.), Ospedali Riuniti Umberto I-Lancisi-Salesi, Ancona, Italy. |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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