J Korean Assoc Oral Maxillofac Surg.
2007 Dec;33(6):631-635.
Post operative evaluation for retromandibular approach of subcondylar fractures
- Affiliations
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- 1Department of Oral & Maxillofacial Surgery, College of Medicine, Hallym University, Medical center, Korea. surgeon@empal.com
- 2Department of Dentistry, College of Medicine, Chung-Ang University, Korea.
Abstract
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PURPOSE: The classic technique for open reduction of subcondylar fractures is the submandibular approach. The aim of this study was to evaluate clinical result of retromandibular approach to displaced subcondylar fractures.
MATERIAL AND METHODS: During a period of 24months we perfomed a prospective study with a retromandibular approach in 23 paients with displaced subcondylar fractures. In this article we describe clinical result in 23 patients with follow ups for 3 months after surgery. Preoperatively all patients had malocclusion and radiology demonstrated displacement.
RESULT: The retromandibularl approach for ORIF was good in all case. Mouth opening(M/O) was 49mm. Occlusion was good too. Permanent facial nerve palsy was not detected.
CONCLUSION
Our findings indicate that the retromandibular approach is a safe technique for subcondylar fractures.
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