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http://dx.doi.org/10.5125/jkaoms.2022.48.5.267

Modified high-submandibular appraoch for open reduction and internal fixation of condylar fracture: case series report  

Lee, Sung-Jae (Department of Oral and Maxillofacial Surgery, Korea University Anam Hospital)
Chun, Young-Joon (Department of Oral and Maxillofacial Surgery, Korea University Anam Hospital)
Lee, Seung-Jun (Department of Oral and Maxillofacial Surgery, Korea University Anam Hospital)
Jun, Sang-Ho (Department of Oral and Maxillofacial Surgery, Korea University Anam Hospital)
Song, In-Seok (Department of Oral and Maxillofacial Surgery, Korea University Anam Hospital)
Publication Information
Journal of the Korean Association of Oral and Maxillofacial Surgeons / v.48, no.5, 2022 , pp. 267-276 More about this Journal
Abstract
Objectives: Recently a modified high-submandibular approach (HSMA) has been introduced for treatment of condylar fracture. This approach involves an incision line close to the mandibular angle and transmasseteric transection, leading to a low incidence of facial palsy and allowing good visualization of the condyle area, especially the condylar neck and subcondyle positions. This study reports several cases managed with this modified HSMA technique for treating condylar fractures. Materials and Methods: Six cases of condylar fractures treated with modified HSMA technique were reviewed. Results: Three unilateral subcondylar fracture, 1 bilateral subcondylar fracture, 1 unilateral condylar neck fracture, 1 unlateral simultaneous condylar neck and subcondylar fracture cases were reviewed. All the cases were successfully treated without any major complication. Conclusion: Reduction, fixation, and osteosynthesis of condylar fractures via the modified HSMA technique enabled effective and stable treatment outcomes. Therefore, the described approach can be used especially for subcondylar and condylar neck fractures with minimal complications.
Keywords
Mandibular condyle; Mandibular fracture; Open fracture reduction; Fracture fixation;
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