Direct transparotid approach via a modified mini-preauricular incision for open reduction and internal fixation of subcondylar fractures
이정수, 강상훈,
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이정수 ( Lee Jung-Soo ) - National Health Insurance Service Ilsan Hospital Department of Oral and Maxillofacial Surgery
강상훈 ( Kang Sang-Hoon ) - National Health Insurance Service Ilsan Hospital Department of Oral and Maxillofacial Surgery
Abstract
A transparotid approach, with a retromandibular or preauricular incision, is an alternative surgical approach for treating a subcondylar fracture and reducing the potential for complications such as injury to the facial nerves. However, retromandibular and preauricular incisions are both created far away from the parotid gland?dissection area. Thus, it is necessary to undermine the skin and retract it anteriorly to access the surgical field. Here, we introduce a modified approach wherein the incision allows for direct access to the fracture site. This approach may be adopted to shorten the incision length, reduce the retraction trauma at the surgical site, and help prevent injury to the facial nerve.
키워드
Mandibular fracture; Parotid gland; Facial nerve injury
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