Modified Extracorporeal Reduction of the Mandibular Condylar Neck Fracture
김민근, 권광준, 김성곤, 박영욱, 김좌영, 권해용,
소속 상세정보
김민근 ( Kim Min-Keun ) - Gangneung-Wonju National University College of Dentistry Department of Oral and Maxillofacial Surgery
권광준 ( Kwon Kwang-Jun ) - Gangneung-Wonju National University College of Dentistry Department of Oral and Maxillofacial Surgery
김성곤 ( Kim Seong-Gon ) - Gangneung-Wonju National University College of Dentistry Department of Oral and Maxillofacial Surgery
박영욱 ( Park Young-Wook ) - Gangneung-Wonju National University College of Dentistry Department of Oral and Maxillofacial Surgery
김좌영 ( Kim Jwa-Young ) - Hallym University College of Medicine Department of Oral and Maxillofacial Surgery
권해용 ( Kweon Hae-Yong ) - National Academy of Agricultural Science Sericultural and Apicultural Materials Division
KMID : 1036320140360010030
Abstract
There are many treatment options in management of mandibular condylar neck fractures. Closed reduction is the most conservative
treatment; however, achievement of anatomic reduction is difficult, and there are some risks of mandibular functional impairment.
Open anatomic reduction and internal fixation have some advantages; therefore, many oral and maxillofacial surgeons have
attempted to achieve anatomic reduction through the open approach and extracorporeal reduction and fixation. However,
when using this method, there is some risk of resorption of the fractured mandibular condylar head. Therefore, we designed
a modified extracorporeal reduction technique, without detaching the lateral pterygoid muscle in order to maintain the blood
supply to the fractured mandibular condylar head. We believe that this minor modification may minimize the risk of resorption
of the fractured mandibular condylar head. In this article, we introduce this technique in detail, and report on two cases.
키워드
Mandibular condylar neck fracture; Mandibular condylar head resorption; Lateral pterygoid muscle; Modified extracorporeal reduction
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