Dantas Danilo Borges, Andrade Miguel G Setúbal, Marchionni Antonio Marcio
Fundação Bahiana para o Desenvolvimento das Ciencias/SESAB, Salvador-Bahia, Brazil.
Cranio. 2007 Oct;25(4):292-6. doi: 10.1179/crn.2007.043.
Retromandibular approach was first described in 1967 for vertical subcondylar osteotomy and later became popular for surgical treatment of temporomandibular joint dysfunction and low condyle fractures. The trajectory of the incision, parallel to the posterior border of the mandibular ramus, allows a good approach with easy separation of the buccal and marginal mandibular branches of the facial nerve, when they are present in the surgical field. When open reduction and internal rigid fixation with plates and screws are indicated for condylar fractures, retromandibular approach offers an excellent esthetic result with low morbidity. Two clinical cases are presented, in which the surgical treatment was carried out for condylar fractures, and clearly illustrate the proposed approach.
下颌后入路最早于1967年被描述用于髁突垂直截骨术，后来在颞下颌关节功能障碍和髁突低位骨折的手术治疗中变得流行。切口轨迹平行于下颌支后缘，当面神经颊支和下颌缘支在手术视野中时，便于很好地显露并容易分离它们。当髁突骨折需要切开复位并用钢板螺钉进行坚强内固定时，下颌后入路能提供美观效果且并发症发生率低。本文介绍了两例针对髁突骨折进行手术治疗的临床病例，清晰地说明了所提出的手术入路。
