Maxillofacial Plastic and Reconstructive Surgery

Korean Association of Maxillofacial Plastic and Reconstructive Surgeons (대한악안면성형재건외과학회)
권호 표지

OPEN REDUCTION AND TRANSORAL FIXATION USING TROCHAR FOR MANDIBULAR SUBCONDYLE FRACTURE

구강 접근과 트로카를 이용한 하악 과두하부 골절의 정복과 고정

  • Hur, Jun-Young (Department of Oral and Maxillofacial Surgery, Gangnam Severance Hospital, Yonsei University) ;
  • Kim, Jong-Yun (Department of Oral and Maxillofacial Surgery, Gangnam Severance Hospital, Yonsei University) ;
  • Lim, Jae-Hyung (Department of Oral and Maxillofacial Surgery, Gangnam Severance Hospital, Yonsei University) ;
  • Park, Kwang-Ho (Department of Oral and Maxillofacial Surgery, Gangnam Severance Hospital, Yonsei University) ;
  • Huh, Jong-Ki (Department of Oral and Maxillofacial Surgery, Gangnam Severance Hospital, Yonsei University)
  • 허준영 (연세대학교 강남세브란스병원 구강악안면외과) ;
  • 김종윤 (연세대학교 강남세브란스병원 구강악안면외과) ;
  • 임재형 (연세대학교 강남세브란스병원 구강악안면외과) ;
  • 박광호 (연세대학교 강남세브란스병원 구강악안면외과) ;
  • 허종기 (연세대학교 강남세브란스병원 구강악안면외과)
  • Received : 2009.10.12
  • Accepted : 2010.01.31
  • Published : 2010.01.29
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Abstract

The mandibular condyle fracture occurs at 15-30% frequency of whole mandibular fracture. The treatment of choice is open reduction or closed reduction. In many cases, closed reduction is preferred for treatment of condylar fracture because it is hard to approach to condyle and there is risk of surgical complications, such as nerve damage in open reduction. Open reduction, however, has some advantages like possibility of anatomical reduction, occlusal stability and rapid functional recovery. Furthermore, it is possible to retain original ramal heights and to decrease deviation during mouth opening. There are many surgical approaches for open reduction of subcondyle fracture. At present, transoral approach using trochar device is tried for effective and minimally invasive method for open reduction of subcondyle fracture. And the authors report the cases of reduction of subcondyle fracture with transoral approach using trochar device.

Keywords

References

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