下颌后入路及其在髁突骨折治疗中的不同变体：手术经验
Retromandibular Approach and its Different Variations in the Management of Fracture Condyle: Surgical Experience.
作者信息
Gopal Krishnan V, Shukla Deepak, Senthil Kumar C
机构信息
Oral and Maxillofacial Surgery, Army Dental Centre (R&R), Jammu, India.
Oral and Maxillofacial Surgery, 16 Corps Dental Unit, Department of Oral and Maxillofacial Surgery, Satwari, Jammu, Jammu and Kashmir 180003 India.
出版信息
J Maxillofac Oral Surg. 2023 Dec;22(4):1052-1057. doi: 10.1007/s12663-023-01962-z. Epub 2023 Jul 11.
Abstract
The management of condylar fractures is a controversial topic in maxillofacial surgery. Surgical treatment is the preferred treatment choice nowadays and the article aims to describe different variations of the retromandibular approach with their surgical outcome based on experience. A total of 15 cases were managed with the retromandibular approach and its different variations. We advocate retromandibular approach for the management of condyle fractures, and among which retromandibular retroparotid and retromandibular anteroparotid provide best accessiblity with less bleeding and minimal risk of injury to the facial nerve.
摘要
髁突骨折的治疗是颌面外科中一个有争议的话题。手术治疗是目前首选的治疗方法，本文旨在根据经验描述下颌后入路的不同变体及其手术效果。共有15例采用下颌后入路及其不同变体进行治疗。我们主张采用下颌后入路治疗髁突骨折，其中下颌后腮腺后入路和下颌后腮腺前入路提供了最佳的显露，出血少，面神经损伤风险最小。
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