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J Oral Maxillofac Surg. 2009 Nov;67(11):2446-51. doi: 10.1016/j.joms.2009.04.109.
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J Oral Maxillofac Surg. 2009 Nov;67(11):2418-24. doi: 10.1016/j.joms.2009.04.066.
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J Oral Maxillofac Surg. 2009 Mar;67(3):552-8. doi: 10.1016/j.joms.2008.06.066.
4
Closed reduction, open reduction, and endoscopic assistance: current thoughts on the management of mandibular condyle fractures.闭合复位、切开复位及内镜辅助：关于下颌髁突骨折治疗的当前观点
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5
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J Oral Maxillofac Surg. 2008 Jan;66(1):201-4. doi: 10.1016/j.joms.2006.09.031.
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Surgical treatment of fractures of the mandibular condyle: a comparison of long-term results following different approaches - functional, axiographical, and radiological findings.下颌髁突骨折的手术治疗：不同手术方式长期疗效的比较——功能、X线测量及影像学结果
J Craniomaxillofac Surg. 2007 Apr;35(3):151-60. doi: 10.1016/j.jcms.2007.01.003. Epub 2007 Jun 21.
7
Endoscopically assisted reduction and fixation of condylar neck/base fractures--The learning curve.
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The periauricular transparotid approach for open reduction and internal fixation of condylar fractures.用于髁突骨折切开复位内固定的耳周透明腮腺入路
J Craniomaxillofac Surg. 2005 Jun;33(3):169-79. doi: 10.1016/j.jcms.2005.01.008. Epub 2005 Apr 21.
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Retromandibular approach to the mandibular condyle: a clinical and cadaveric study.下颌髁突的下颌后入路：一项临床与尸体研究
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经下颌后切口的腮腺后经咬肌入路在髁突骨折切开复位内固定术中的疗效：我们机构的经验

Efficacy of the Retroparotid Trans-Masseteric Approach via Retromandibular Incision in ORIF of Subcondylar Fractures: Our Institution Experience.

作者信息

Tomar Kapil

机构信息

Naval Institute of Dental Sciences, RC Church, Colaba, Mumbai, 400005 India.

出版信息

J Maxillofac Oral Surg. 2018 Sep;17(3):332-338. doi: 10.1007/s12663-017-1022-y. Epub 2017 May 29.

DOI:10.1007/s12663-017-1022-y
PMID:30034151
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6028344/
Abstract

BACKGROUND

Fractures of the mandible subcondyle have always presented a challenge to the maxillofacial surgeon, with a myriad of treatment options existing ranging from conservative management to open reduction and internal fixation (ORIF) to condylotomy. The complex anatomy of the region poses a challenge, with injury to the facial nerve branches being the primary concern.

OBJECTIVE

This study evaluated the efficacy of a modified retromandibular approach, with retroparotid trans-masseteric dissection for ORIF of subcondylar fractures.

METHODOLOGY

Twenty-five patients with subcondylar fractures at varying levels were treated surgically by ORIF using this approach.

RESULTS

All patients managed by this modified retromandibular approach had satisfactory results with restoration of vertical ramal height, satisfactory mouth opening, stable occlusion and no facial nerve damage post-op.

CONCLUSION

In our study, the modified retromandibular approach, with retroparotid trans-masseteric approach was effective in surgical management of subcondylar fractures by ORIF with minimal complications.

摘要

背景

下颌骨髁突骨折一直是颌面外科医生面临的挑战，存在从保守治疗到切开复位内固定（ORIF）再到髁突切除术等众多治疗选择。该区域复杂的解剖结构带来了挑战，其中面神经分支损伤是主要关注点。

目的

本研究评估了一种改良的下颌后入路联合腮腺后经咬肌入路进行髁突骨折切开复位内固定术的疗效。

方法

25例不同程度髁突骨折的患者采用该入路进行切开复位内固定手术治疗。

结果

所有采用这种改良下颌后入路治疗的患者均取得了满意的效果，垂直升支高度恢复良好，张口度满意，咬合稳定，术后无面神经损伤。

结论

在我们的研究中，改良下颌后入路联合腮腺后经咬肌入路在切开复位内固定治疗髁突骨折方面效果良好，并发症最少。