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POST OPERATIVE EVALUATION FOR RETROMANDIBULAR APPROACH OF SUBCONDYLAR FRACTURES  

Lee, Seul-Ki (Department of Oral & Maxillofacial Surgery, College of Medicine, Hallym Univ. Medical center)
Song, Kyoung-Ho (Department of Oral & Maxillofacial Surgery, College of Medicine, Hallym Univ. Medical center)
Kim, Jwa-Young (Department of Oral & Maxillofacial Surgery, College of Medicine, Hallym Univ. Medical center)
Song, Sang-Hoon (Department of Oral & Maxillofacial Surgery, College of Medicine, Hallym Univ. Medical center)
Yang, Byoung-Eun (Department of Oral & Maxillofacial Surgery, College of Medicine, Hallym Univ. Medical center)
Choi, Won-Cheul (Department of Dentistry, College of Medicine, Chung-Ang Univ.)
Kim, Seong-Gon (Department of Oral & Maxillofacial Surgery, College of Medicine, Hallym Univ. Medical center)
Publication Information
Journal of the Korean Association of Oral and Maxillofacial Surgeons / v.33, no.6, 2007 , pp. 631-635 More about this Journal
Abstract
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 patients 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.
Keywords
Mandible fracture; Subcondylar fracture; Retromandibular approach;
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