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Revista de Cirurgia e Traumatologia Buco-maxilo-facial

On-line version ISSN 1808-5210

Abstract

VAJGEL, André et al. Surgical treatment of subcondylar fracture through intra-oral approach: techinical note. Rev. cir. traumatol. buco-maxilo-fac. [online]. 2011, vol.11, n.4, pp. 59-64. ISSN 1808-5210.

Subcondylar fractures is still a very controversial topic in the literature for the lack of scientific evidence concerning the best method of treatment. Regarding the surgical approaches, the pre-auricular and retromandibular are the most used. With the development of instruments such as specific retractors and 900screwdriver, fixation of the plate at the posterior mandibular region became possible by means of intra-oral direct vision. This approach has advantages as the absence of visible scars and the possibility of facial nerve injury inherent in the extra-oral approach, as well as quick access to fracture and reduced risk of infection. The limitation of the surgical field and the difficulty of reducing fractures with medial displacement are the main disadvantages of intra-oral access, which are often treated by extra-oral access, which provides a more direct surgical field. The aim of this study is to report the treatment ok subcondylarfracturesthrough intra-oral approach

Keywords : Jaw Fixation Techniques; Mandibular Fractures; Fracture Fixation; Internal.

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