Archives of Plastic Surgery

  • 제39권4호
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  • Pages.284-290
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  • 2012
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  • 2234-6163(pISSN)
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  • 2234-6171(eISSN)
대한성형외과학회 (Korean Society of Plastic and Reconstructive Surgeons)
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Surgical Management of a Mandible Subcondylar Fracture

  • Kang, Dong Hee (Department of Plastic Surgery, Dankook University Hospital, Dankook University College of Medicine)
  • 투고 : 2012.04.05
  • 심사 : 2012.06.22
  • 발행 : 2012.07.15
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초록

Open reduction and anatomic reduction can create better function for the temporomandibular joint, compared with closed treatment in mandible fracture surgery. Therefore, the double miniplate fixation technique via mini-retromandibular incision was used in order to make the most stable fixation when performing subcondylar fracture surgery. Those approaches provide good visualization of the subcondyle from the posterior edge of the ramus, allow the surgeon to work perpendicularly to the fracture, and enable direct fracture management. Understanding the biomechanical load in the fixation of subcondylar fractures is also necessary in order to optimize fixation methods. Therefore, we measured the biomechanical loads of four different plate fixation techniques in the experimental model regarding mandibular subcondylar fractures. It was found that the loads measured in the two-plate fixation group with one dynamic compression plate (DCP) and one adaption plate showed the highest deformation and failure loads among the four fixation groups. The loads measured in the one DCP plate fixation group showed higher deformation and failure loads than the loads measured in the two adaption plate fixation group. Therefore, we conclude that the selection of the high profile plate (DCP) is also important in order to create a stable load in the subcondylar fracture.

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참고문헌

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  2. Clinical and radiological outcomes of transoral endoscope-assisted treatment of mandibular condylar fractures vol.45, pp.3, 2012, https://doi.org/10.1016/j.ijom.2015.11.005
  3. Caracterização miofuncional orofacial e eletromiográfica de pacientes submetidos à correção da fratura condilar por redução aberta e fechada vol.28, pp.5, 2016, https://doi.org/10.1590/2317-1782/20162015186
  4. Oral motor and electromyographic characterization of adults with facial fractures: a comparison between different fracture severities vol.72, pp.5, 2012, https://doi.org/10.6061/clinics/2017(05)04
  5. Retromandibular reduction of medially dislocated condylar process fractures vol.45, pp.1, 2018, https://doi.org/10.5999/aps.2017.00962
  6. Direct transparotid approach via a modified mini-preauricular incision for open reduction and internal fixation of subcondylar fractures vol.47, pp.4, 2021, https://doi.org/10.5125/jkaoms.2021.47.4.327