David, Sonrajiah (2011) Rhytidectomy Approach for the Treatment of Subcondylar Fracture of Mandible. Masters thesis, Tamilnadu Government Dental College and Hospital, Chennai.
|
Text
240302011david_sonrajiah.pdf Download (4MB) | Preview |
Abstract
SUMMARY AND CONCLUSION: In this study 5 cases of subcondylar fracture were treated by open reduction and internal fixation via the rhytidectomy approach, and we have achieved excellent results. The rhytidectomy (face lift) incision which we used in our study has the advantage of a less conspicuous scar and wider exposure of the fracture site when compared to retromandibular approach. It may be concluded that surgical treatment of fractured displaced condyle achieved excellent results when a transparotid face lift approach is used. Clinical parameters were assessed preoperatively, intraoperatively, and post operatively. Patients were assessed clinically and radiologically and the following conclusion was drawn. 1. The rhytidectomy approach provides excellent access. 2. Branches of facial nerve were encountered but it can be safely retracted either superiorly or inferiorly, without any permanent damage. 3. We were able to achieve anatomic reduction of fractured subcondyle. 4. More than 43 mm of mouth opening was achieved post operatively in all the cases. 5. There was no post operative occlusal derangement. 6. There was no need for post operative IMF. 7. The scar was inconspicuous. 8. There was no deviation of mandible on mouth opening. 9. There were no TMJ symptoms like pain or clicking. 10. There was no complication of sialocele, salivary fistula. 11. There was no incidence of permanent facial nerve injury, auricular anaesthesia. 12. There was no incidence of hematoma. 13. There was no incidence of wound infection. 14. There was no incidence of plate fracture. In conclusion, when open reduction and internal fixation of subcondylar fracture is indicated, we found rhytidectomy or face lift trans parotid approach is effective and safe technique with good access and low morbidity. This approach provides wider exposure of the fracture site. The only disadvantage is the added time required for closure which is not a concern as the aesthetic outcome is excellent. It may be concluded that surgical treatment of the fractured, displaced condyle achieves excellent results when rhytidectomy approach is used.
| Item Type: | Thesis (Masters) |
|---|---|
| Uncontrolled Keywords: | Rhytidectomy Approach ; Treatment ; Subcondylar Fracture of Mandible. |
| Subjects: | DENTAL > Oral and Maxillofacial Surgery |
| Depositing User: | Kambaraman B |
| Date Deposited: | 13 May 2018 11:50 |
| Last Modified: | 13 May 2018 14:14 |
| URI: | http://repository-tnmgrmu.ac.in/id/eprint/7777 |
Actions (login required)
 |
View Item |
