Direct and Safe Approach in the Treatment of Subcondylar Fractures
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Abstract
Jaw fractures are a major cause of functional disability and social and cosmetic morbidity. Despite the high incidence of subcondylar fractures, their treatment remains controversial. In recent years and hand in hand with a refinement of surgical techniques and osteosynthesis, the focus has shifted to surgery. An optimal approach is one that allows the surgeon to perform an anatomical reduction under direct vision to avoid damage to facial nerve branches due to manipulation of the fragments or the approach per se and ultimately, that the scar is aesthetically acceptable. The aim of this paper is to offer a direct and safe approach, through the study of the technique in cadavers. A safe approach was found in most cases through incisions 13 mm from the preauricular line, as well as incisions with a length of 20 mm.
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