Murugan R, Thiruneelakandan S, Manojprabhakar Meera, Srivatson V
Associate professor, Department of Oral and Maxillofacial Surgery, Rajah Muthiah Dental College and Hospital, Chidambaram, Tamil Nadu, India.
Professor, Department of Oral and Maxillofacial Surgery, Rajah Muthiah Dental College and Hospital, Chidambaram, Tamil Nadu, India.
J Pharm Bioallied Sci. 2021 Nov;13(Suppl 2):S1733-S1736. doi: 10.4103/jpbs.jpbs_86_21. Epub 2021 Nov 10.
The complex anatomy of the mandibular condyle makes its fracture management challenging and debatable. Apart from this, the approaches to condyle are also challenging as most of them depend on the surgical expertise. The retromandibular approach which was initially proposed for the vertical sub condylar osteotomies was later popularized for condyle fracture management. It is considered to be a gold standard approach in the management of low condylar fractures. Although it has its own demerits in managing high condylar fracture due to its poor access and visibility, the major complications of temporary facial nerve paresis and sialocele are very less compared to other approaches. However, modified extracorporeal plating combined with retromandibular approach proves to be effective in managing high condylar fracture. In this article, we discuss about a case of bilateral neck of condyle fracture that has been managed with the combined modified extracorporeal plating with retromandibular approach and has been followed with no complications for about 1 year.
下颌髁突复杂的解剖结构使其骨折的处理具有挑战性且存在争议。除此之外，由于大多数入路都依赖手术技巧，所以进入髁突的入路也颇具挑战性。最初为垂直髁突下截骨术提出的下颌后入路，后来在髁突骨折处理中得到推广。它被认为是处理低位髁突骨折的金标准入路。尽管在处理高位髁突骨折时，由于其入路不佳和视野受限存在自身缺点，但与其他入路相比，暂时性面神经麻痹和涎囊肿等主要并发症非常少。然而，改良体外钢板联合下颌后入路被证明在处理高位髁突骨折方面是有效的。在本文中，我们讨论了一例双侧髁突颈部骨折，采用改良体外钢板联合下颌后入路进行处理，术后随访约1年无并发症。
