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 |
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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. Published by Elsevier Ltd. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c481t-28053084ccf2f659983db5298137e250483c2c2010d23d0d2ab5cb8eb081f6af3</citedby><cites>FETCH-LOGICAL-c481t-28053084ccf2f659983db5298137e250483c2c2010d23d0d2ab5cb8eb081f6af3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.jcms.2016.07.009$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>315,781,785,3551,27929,27930,46000</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/27592023$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><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><title>Use of a modified high submandibular approach to treat condylar base fractures: Experience with 44 consecutive cases treated in a single institution</title><title>Journal of cranio-maxillo-facial surgery</title><addtitle>J Craniomaxillofac Surg</addtitle><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.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Child</subject><subject>Condylar fractures</subject><subject>Dentistry</subject><subject>Female</subject><subject>High submandibular approach</subject><subject>Humans</subject><subject>Male</subject><subject>Mandibular Condyle - injuries</subject><subject>Mandibular Condyle - surgery</subject><subject>Mandibular fractures</subject><subject>Mandibular Fractures - surgery</subject><subject>Mandibular Reconstruction - methods</subject><subject>Middle Aged</subject><subject>Retrospective Studies</subject><subject>Surgery</subject><subject>Young Adult</subject><issn>1010-5182</issn><issn>1878-4119</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2016</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9ks1u1TAQhSMEoj_wAiyQl2wSxnZ-HISQqqoUpEosoGvLsce9Dkl8sZ3CfQ8eGIdbWLBgY4_kb85oznFRvKBQUaDt67Ea9RwrlusKugqgf1ScUtGJsqa0f5xroFA2VLCT4izGEQBaEP3T4oR1Tc-A8dPi521E4i1RZPbGWYeG7NzdjsR1mNVi3LBOKhC13wev9I4kT1JAlYj2izlsT4PKAjYondaA8Q25-rHH4HDRSL67tCN1vbER9ZrcPRKd8XjUyKPckgdHt9xNmOuYXMqUX54VT6yaIj5_uM-L2_dXXy4_lDefrj9eXtyUuhY0lUxAw0HUWltm26bvBTdDw3pBeYesgVpwzXS2BwzjJh9qaPQgcABBbassPy9eHXXzdt9WjEnOLmqcJrWgX6OkoqYCeNe0GWVHVAcfY0Ar98HNKhwkBbmlIUe5pSG3NCR0MqeRm14-6Gc30fxt-WN_Bt4eAcxb3jsMMurf3hkXUCdpvPu__rt_2vXkFqfV9BUPGEe_hiX7J6mMTIL8vP2H7TvQlgOtOee_AAdGsfE</recordid><startdate>20161001</startdate><enddate>20161001</enddate><creator>Pau, Mauro</creator><creator>Navisany, Kawe</creator><creator>Reinbacher, Knut Ernst</creator><creator>Zrnc, Tomislav</creator><creator>Wallner, Jürgen</creator><creator>Schwenzer-Zimmerer, Katja</creator><general>Elsevier Ltd</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20161001</creationdate><title>Use of a modified high submandibular approach to treat condylar base fractures: Experience with 44 consecutive cases treated in a single institution</title><author>Pau, Mauro ; 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). 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.</abstract><cop>Scotland</cop><pub>Elsevier Ltd</pub><pmid>27592023</pmid><doi>10.1016/j.jcms.2016.07.009</doi><tpages>5</tpages></addata></record> |
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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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