Titre :

Mandibular subcondylar fracture accessibility with transparotid approach by rhytidectomy and modified risdon approach: an anatomical comparative study

Auteur(s) :

Ruiz, Robin [Auteur]
Hôpital Henri Mondor
Schlund, Matthias [Auteur]
Advanced Drug Delivery Systems (ADDS) - U1008
Raoul, Gwénaël [Auteur]
Advanced Drug Delivery Systems (ADDS) - U1008
Médicaments et biomatériaux à libération contrôlée: mécanismes et optimisation - Advanced Drug Delivery Systems - U 1008 [MBLC - ADDS]
Kyheng, Maéva [Auteur]
Evaluation des technologies de santé et des pratiques médicales - ULR 2694 [METRICS]
Fontaine, Christian [Auteur]
Faculté de Médecine Henri Warembourg - Université de Lille
Nicot, Romain [Auteur]
Advanced Drug Delivery Systems (ADDS) - U1008

Titre de la revue :

Journal of cranio-maxillo-facial surgery . official publication of the European Association for Cranio-Maxillo-Facial Surgery

Nom court de la revue :

J Craniomaxillofac Surg

Numéro :

46

Pagination :

2256-2260

Date de publication :

2018-10-19

ISSN :

1878-4119

Mot(s)-clé(s) :

Operative
Facial paralysis
Mandibular condyle
Surgical procedure
Fracture fixation
Mandibular fracture

Discipline(s) HAL :

Sciences du Vivant [q-bio]

Résumé en anglais : [en]

OBJECTIVE: The purpose of our anatomical study was to compare the accessibility of the area at the level of the neck of the condyle and the condylar head by two different approaches: the modified Risdon approach and a ...
Lire la suite >OBJECTIVE: The purpose of our anatomical study was to compare the accessibility of the area at the level of the neck of the condyle and the condylar head by two different approaches: the modified Risdon approach and a transparotid approach by rhytidectomy (TPAR). METHODS: An anatomical study was performed on 12 heads of cadavers preserved with a solution rich in glycerin and ethanol, but very low in formalin. A modified Risdon approach and a TPAR were each performed on a hemiface of the same head. The bone surface was rendered digitally accessible on an anatomical diagram using Image J software. The software was used to determine a concordance score between the area of accessibility and the area of interest necessary for osteosynthesis of a high subcondylar fracture. This score was presented as a numerical scale from 0 to 100. We measured the total number of pixels in our area of interest and assigned it a score of 100. We then compared the area of accessibility with the area of interest necessary for osteosynthesis of a high subcondylar fracture. RESULTS: Using the modified Risdon approach, an average score of 55.88 (SD = 18.96) was found, or 55.88% of the accessible area of interest. Using TPAR, we found a score of 91.05 (SD = 7.95) or 91.05% of the accessible area of interest. This difference in score between the two techniques was significantly different (p < 0.001), taking into account intra-hemiface and intra-individual correlation. CONCLUSIONS: TPAR seems to be more effective in treating high condylar process fractures of the mandible.Lire moins >

Langue :

Anglais

Audience :

Internationale

Vulgarisation :

Non

Établissement(s) :

CHU Lille
Inserm
Université de Lille

Collections :

• Advanced Drug Delivery Systems (ADDS) - U1008
• METRICS : Evaluation des technologies de santé et des pratiques médicales - ULR 2694

Date de dépôt :

2021-01-20T15:59:09Z
2024-02-23T11:03:40Z