Modified tragus edge incision and transmasseteric anteroparotid approach to condyle reconstruction / 华西口腔医学杂志
West China Journal of Stomatology
; (6): 290-296, 2023.
Article
en En
| WPRIM
| ID: wpr-981126
Biblioteca responsable:
WPRO
ABSTRACT
OBJECTIVES@#This study aimed to analyze the application value of a modified tragus edge incision and transmasseteric anteroparotid approach to condyle reconstruction.@*METHODS@#Condyle reconstruction was performed in 16 patients (9 females and 7 males) with modified tragus edge incision and transmasseteric anteroparotid approach. After regular follow-up, the function of condyle reconstruction was evaluated by clinical indicators, such as parotid salivary fistula, facial nerve function, mouth opening, occlusal relationship, and facial scar. The morphology of rib graft rib cartilage was evaluated by imaging indicators, such as panoramic radiography, CT, and three-dimensional CT image reconstruction.@*RESULTS@#At 6-36 months postoperative follow-up, all patients had good recovery of facial appearance, concealed incisional scar, no parotid salivary fistula, good mouth opening, and occlusion. One case had temporary facial paralysis and recovered after treatment. Radiographic evaluation further showed that costochondral graft survived in normal anatomic locations.@*CONCLUSIONS@#The modified tragus edge incision and transmasseteric anteroparotid approach can effectively reduce parotid salivary fistula and facial nerve injury in condylar reconstruction. The surgical field was clearly exposed, and the incision scar was concealed without increasing the incidence of other complications. Thus, this approach is worthy of clinical promotion.
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Texto completo:
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Base de datos:
WPRIM
Asunto principal:
Cicatriz
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Resultado del Tratamiento
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Procedimientos Quirúrgicos Orales
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Fijación Interna de Fracturas
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Cóndilo Mandibular
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Fracturas Mandibulares
Límite:
Female
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Humans
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Male
Idioma:
En
Revista:
West China Journal of Stomatology
Año:
2023
Tipo del documento:
Article