Use of a modified high submandibular approach to treat condylar base fractures: Experience with 44 consecutive cases treated in a single institution

Abstract Purpose The aim of this article is to present our experience treating fractures of the condylar base with a modification of the high submandibular approach (HSA). Materials and methods Between June 2012 and April 2015, 44 fractures of the condylar base were treated in the Department of Oral...

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Veröffentlicht in:Journal of cranio-maxillo-facial surgery 2016-10, Vol.44 (10), p.1641-1645
Hauptverfasser: Pau, Mauro, Navisany, Kawe, Reinbacher, Knut Ernst, Zrnc, Tomislav, Wallner, Jürgen, Schwenzer-Zimmerer, Katja
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container_end_page 1645
container_issue 10
container_start_page 1641
container_title Journal of cranio-maxillo-facial surgery
container_volume 44
creator Pau, Mauro
Navisany, Kawe
Reinbacher, Knut Ernst
Zrnc, Tomislav
Wallner, Jürgen
Schwenzer-Zimmerer, Katja
description Abstract Purpose The aim of this article is to present our experience treating fractures of the condylar base with a modification of the high submandibular approach (HSA). Materials and methods Between June 2012 and April 2015, 44 fractures of the condylar base were treated in the Department of Oral and Maxillofacial Surgery of the Medical Hospital of Graz using the modified HSA. Results We did not observe any damage (even transient) to the facial nerve or any complication related to violation of the parotid capsule (such as a salivary fistula, Frey syndrome, or a sialocele). Conclusions This approach provides good access to the condylar base, ensuring easier internal fixation, excellent protection of the facial nerve and parotid gland, and good cosmetic results.
doi_str_mv 10.1016/j.jcms.2016.07.009
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Materials and methods Between June 2012 and April 2015, 44 fractures of the condylar base were treated in the Department of Oral and Maxillofacial Surgery of the Medical Hospital of Graz using the modified HSA. Results We did not observe any damage (even transient) to the facial nerve or any complication related to violation of the parotid capsule (such as a salivary fistula, Frey syndrome, or a sialocele). Conclusions This approach provides good access to the condylar base, ensuring easier internal fixation, excellent protection of the facial nerve and parotid gland, and good cosmetic results.</description><identifier>ISSN: 1010-5182</identifier><identifier>EISSN: 1878-4119</identifier><identifier>DOI: 10.1016/j.jcms.2016.07.009</identifier><identifier>PMID: 27592023</identifier><language>eng</language><publisher>Scotland: Elsevier Ltd</publisher><subject>Adolescent ; Adult ; Aged ; Aged, 80 and over ; Child ; Condylar fractures ; Dentistry ; Female ; High submandibular approach ; Humans ; Male ; Mandibular Condyle - injuries ; Mandibular Condyle - surgery ; Mandibular fractures ; Mandibular Fractures - surgery ; Mandibular Reconstruction - methods ; Middle Aged ; Retrospective Studies ; Surgery ; Young Adult</subject><ispartof>Journal of cranio-maxillo-facial surgery, 2016-10, Vol.44 (10), p.1641-1645</ispartof><rights>European Association for Cranio-Maxillo-Facial Surgery</rights><rights>2016 European Association for Cranio-Maxillo-Facial Surgery</rights><rights>Copyright © 2016 European Association for Cranio-Maxillo-Facial Surgery. 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Materials and methods Between June 2012 and April 2015, 44 fractures of the condylar base were treated in the Department of Oral and Maxillofacial Surgery of the Medical Hospital of Graz using the modified HSA. Results We did not observe any damage (even transient) to the facial nerve or any complication related to violation of the parotid capsule (such as a salivary fistula, Frey syndrome, or a sialocele). 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Navisany, Kawe ; Reinbacher, Knut Ernst ; Zrnc, Tomislav ; Wallner, Jürgen ; Schwenzer-Zimmerer, Katja</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c481t-28053084ccf2f659983db5298137e250483c2c2010d23d0d2ab5cb8eb081f6af3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2016</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Child</topic><topic>Condylar fractures</topic><topic>Dentistry</topic><topic>Female</topic><topic>High submandibular approach</topic><topic>Humans</topic><topic>Male</topic><topic>Mandibular Condyle - injuries</topic><topic>Mandibular Condyle - surgery</topic><topic>Mandibular fractures</topic><topic>Mandibular Fractures - surgery</topic><topic>Mandibular Reconstruction - methods</topic><topic>Middle Aged</topic><topic>Retrospective Studies</topic><topic>Surgery</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Pau, Mauro</creatorcontrib><creatorcontrib>Navisany, Kawe</creatorcontrib><creatorcontrib>Reinbacher, Knut Ernst</creatorcontrib><creatorcontrib>Zrnc, Tomislav</creatorcontrib><creatorcontrib>Wallner, Jürgen</creatorcontrib><creatorcontrib>Schwenzer-Zimmerer, Katja</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of cranio-maxillo-facial surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Pau, Mauro</au><au>Navisany, Kawe</au><au>Reinbacher, Knut Ernst</au><au>Zrnc, Tomislav</au><au>Wallner, Jürgen</au><au>Schwenzer-Zimmerer, Katja</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Use of a modified high submandibular approach to treat condylar base fractures: Experience with 44 consecutive cases treated in a single institution</atitle><jtitle>Journal of cranio-maxillo-facial surgery</jtitle><addtitle>J Craniomaxillofac Surg</addtitle><date>2016-10-01</date><risdate>2016</risdate><volume>44</volume><issue>10</issue><spage>1641</spage><epage>1645</epage><pages>1641-1645</pages><issn>1010-5182</issn><eissn>1878-4119</eissn><abstract>Abstract Purpose The aim of this article is to present our experience treating fractures of the condylar base with a modification of the high submandibular approach (HSA). 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subjects Adolescent
Adult
Aged
Aged, 80 and over
Child
Condylar fractures
Dentistry
Female
High submandibular approach
Humans
Male
Mandibular Condyle - injuries
Mandibular Condyle - surgery
Mandibular fractures
Mandibular Fractures - surgery
Mandibular Reconstruction - methods
Middle Aged
Retrospective Studies
Surgery
Young Adult
title Use of a modified high submandibular approach to treat condylar base fractures: Experience with 44 consecutive cases treated in a single institution
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