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KMID : 0355620070330060631
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Journal of Korean Association of Oral and Maxillofacial Surgeons
2007 Volume.33 No. 6 p.631 ~ p.635
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POST OPERATIVE EVALUATION FOR RETROMANDIBULAR APPROACH OF SUBCONDYLAR FRACTURES
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Lee Seul-Ki
Song Kyoung-Ho
Kim Jwa-Young
Song Sang-Hoon
Yang Byoung-Eun
Choi Won-Cheul
Kim Seong-Gon
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Abstract
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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.
Materials and Methods: During a period of 24months we perfomed a prospective study with a retromandibular approach in 23 paients 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.
Results: 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.
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KEYWORD
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Mandible fracture, Subcondylar fracture, Retromandibular approach
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