Oral and Maxillofacial Surgery, Fiona Stanley Hospital, Murdoch, Western Australia, Australia
Oral and Maxillofacial Surgery, Fiona Stanley Hospital, Murdoch, Western Australia, Australia.
BMJ Case Rep. 2020 Jul 28;13(7):e233246. doi: 10.1136/bcr-2019-233246.
Access to the mandibular ramus can be difficult. There are a number of described methods for accessing the mandibular ramus and condyle, including a transoral or transcutaneous approach. Access via a transoral approach prevents surgical scars but can result in an excessive amount of bone removal from the anterior mandibular ramus. The transparotid approach has been described and commonly used for the management of mandibular trauma. It allows for direct access to the mandibular ramus and condyle with a number of possible complications, including salivary fistula formation, sialocele and facial nerve injury. Despite these risks, this approach is commonly used in the setting of trauma. This case report describes an additional indication, the successful use of the transparotid approach for the management of benign odontogenic pathology.
下颌支的进入可能具有难度。有许多描述性方法可以进入下颌支和髁突，包括经口或经皮入路。经口入路可以避免手术瘢痕，但可能导致下颌支前份过多的骨质去除。经腮腺入路已经被描述并常用于下颌骨创伤的管理。它允许直接进入下颌支和髁突，但有多种可能的并发症，包括涎瘘形成、唾液肿和面神经损伤。尽管存在这些风险，但这种方法在创伤环境中仍被广泛使用。本病例报告描述了另一个适应证，即经腮腺入路成功用于良性牙源性病变的治疗。
