Modified high-submandibular appraoch for open reduction and internal fixation of condylar fracture: case series report
이성재, 천영준, 이승준, 전상호, 송인석,
소속 상세정보
이성재 ( Lee Sung-Jae ) - Korea University Anam Hospital Department of Oral and Maxillofacial Surgery
천영준 ( Chun Young-Joon ) - Korea University Anam Hospital Department of Oral and Maxillofacial Surgery
이승준 ( Lee Seung-Jun ) - Korea University Anam Hospital Department of Oral and Maxillofacial Surgery
전상호 ( Jun Sang-Ho ) - Korea University Anam Hospital Department of Oral and Maxillofacial Surgery
송인석 ( Song In-Seok ) - Korea University Anam Hospital Department of Oral and Maxillofacial Surgery
Abstract
Objectives: Recently a modified high-submandibular approach (HSMA) has been introduced for treatment of condylar fracture. This approach involves an incision line close to the mandibular angle and transmasseteric transection, leading to a low incidence of facial palsy and allowing good visualization of the condyle area, especially the condylar neck and subcondyle positions. This study reports several cases managed with this modified HSMA technique for treating condylar fractures.
Materials and Methods: Six cases of condylar fractures treated with modified HSMA technique were reviewed.
Results: Three unilateral subcondylar fracture, 1 bilateral subcondylar fracture, 1 unilateral condylar neck fracture, 1 unlateral simultaneous condylar neck and subcondylar fracture cases were reviewed. All the cases were successfully treated without any major complication.
Conclusion: Reduction, fixation, and osteosynthesis of condylar fractures via the modified HSMA technique enabled effective and stable treatment outcomes. Therefore, the described approach can be used especially for subcondylar and condylar neck fractures with minimal complications.
키워드
Mandibular condyle; Mandibular fracture; Open fracture reduction; Fracture fixation
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