Open reduction of subcondylar fractures via an anterior parotid approach.
Abstract
Visualization of subcondylar fractures is limited, and rigid fixation technically difficult, employing standard open surgical techniques--especially when the condyle is displaced out of the glenoid fossa. The majority of condylar neck fractures are treated by closed reduction with maxillomandibular fixation, to obviate the potential for permanent injury to the facial nerve. The technique described employs an anterior parotid, two-layer, sub-SMAS (superficial musculo-aponeurotic system) approach via a rhytidectomy incision that reliably identifies and preserves the neural elements and provides direct access to the pericondylar region. The thirteen patients presented here exhibited satisfactory functional and aesthetic results. Complications included temporary nerve palsies, plate fractures, and a hematoma.
추출된 의학 개체 (NER)
| 유형 | 영어 표현 | 한국어 / 풀이 | UMLS CUI | 출처 | 등장 |
|---|---|---|---|---|---|
| 시술 | rhytidectomy
|
안면거상술 | dict | 1 | |
| 해부 | condyle
|
scispacy | 1 | ||
| 해부 | facial nerve
|
scispacy | 1 | ||
| 해부 | neural
|
scispacy | 1 | ||
| 해부 | smas
|
표재성근건막계 | dict | 1 | |
| 합병증 | subcondylar fractures
|
scispacy | 1 | ||
| 합병증 | superficial musculo-aponeurotic
|
scispacy | 1 | ||
| 합병증 | nerve palsies
|
scispacy | 1 | ||
| 합병증 | hematoma
|
혈종 | dict | 1 | |
| 질환 | condyle
|
C0524414
Structure of condyle
|
scispacy | 1 | |
| 질환 | condylar neck fractures
|
scispacy | 1 | ||
| 질환 | temporary nerve palsies
|
scispacy | 1 | ||
| 질환 | reduction of subcondylar fractures
|
scispacy | 1 | ||
| 질환 | fractures
|
C0016658
Fracture
|
scispacy | 1 | |
| 기타 | anterior parotid
|
scispacy | 1 | ||
| 기타 | glenoid fossa
|
scispacy | 1 | ||
| 기타 | condylar neck fractures
|
scispacy | 1 | ||
| 기타 | maxillomandibular
|
scispacy | 1 | ||
| 기타 | patients
|
scispacy | 1 |
MeSH Terms
Adolescent; Adult; Bone Plates; Dissection; Equipment Failure; Facial Nerve Injuries; Facial Paralysis; Fasciotomy; Female; Fracture Fixation, Internal; Fracture Healing; Hematoma; Humans; Joint Dislocations; Male; Mandibular Condyle; Mandibular Fractures; Masseter Muscle; Parotid Gland; Postoperative Complications; Postoperative Hemorrhage
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