Journal of oral and maxillofacial surgery : official journal of the American Association of Oral and Maxillofacial Surgeons · 2003
The transcervical incision for use in oral and maxillofacial surgical procedures.
Оценочное исследованиеСтатьяМногоцентровое исследованиеНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Landa Leopoldo E, Tartan Burcin F, Acartuk Aguz, Skouteris Chris A, Gordon Christopher, Sotereanos George C
Аннотация
PURPOSE: The aim of this study was to evaluate the long-term outcome of the transcervical approach to treat various mandibular problems.
MATERIALS AND METHODS: Sixty-two patients (37 males and 25 females; age range, 15 to 80 years; mean age, 45.1 years) were treated via the transcervical approach. Twenty-eight patients (45.1%) had multiple mandibular fractures, 23 (31.7%) had tumor resections and selective neck dissections with microsurgical reconstruction, 7 (11.3%) had severe micrognathia and temporomandibular joint ankylosis, and 4 (6.4%) had mandibular atrophy requiring grafting. The patients were followed up to 15 years. The rates of complications due to surgery were evaluated.
RESULTS: The most common complication was dysesthesia at the C2-4 distribution in 54 patients (87.1%), which was usually transient. Nine patients (12.9%) had permanent damage to the inferior alveolar nerve (V3) unilaterally due to segmental mandibulectomy. Other less common complications were transient dysesthesia at the V3 distribution and transient weakness of the lip commissure unilaterally. Hypertrophic scars, seroma formation, soft tissue infection, and orocervical fistula formation were rare. Most of the patients (96.8%) were satisfied with the amount of scarring.
CONCLUSION: The transcervical approach provides broad exposure of the mandible and neck structures with excellent access to the operative field and a minimal rate of complications.
MATERIALS AND METHODS: Sixty-two patients (37 males and 25 females; age range, 15 to 80 years; mean age, 45.1 years) were treated via the transcervical approach. Twenty-eight patients (45.1%) had multiple mandibular fractures, 23 (31.7%) had tumor resections and selective neck dissections with microsurgical reconstruction, 7 (11.3%) had severe micrognathia and temporomandibular joint ankylosis, and 4 (6.4%) had mandibular atrophy requiring grafting. The patients were followed up to 15 years. The rates of complications due to surgery were evaluated.
RESULTS: The most common complication was dysesthesia at the C2-4 distribution in 54 patients (87.1%), which was usually transient. Nine patients (12.9%) had permanent damage to the inferior alveolar nerve (V3) unilaterally due to segmental mandibulectomy. Other less common complications were transient dysesthesia at the V3 distribution and transient weakness of the lip commissure unilaterally. Hypertrophic scars, seroma formation, soft tissue infection, and orocervical fistula formation were rare. Most of the patients (96.8%) were satisfied with the amount of scarring.
CONCLUSION: The transcervical approach provides broad exposure of the mandible and neck structures with excellent access to the operative field and a minimal rate of complications.