Commentary to "A follow-up study on extracorporeal fixation of condylar fractures using vertical ramus osteotomy"
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چکیده
a extraoral methods. To emphasize extracorporeal reduction of fractured condylar segments, Park et al.'s article 1 addresses whether the fractured segment is attached to the surrounding soft tissue. Thus, a conventional approach would be better to be corrected for its accurate terminology. In a position paper from the IBRA Symposium on Surgery of the Head–the 2nd International Symposium on Condylar Fracture Osteosynthesis, Marseille, France 2012 2 , the extra-oral approach was divided into submandibular, retroman-dibular, preauricular, and transparotid approaches. In our previously published article 3 , we described extraoral reinser-tion after direct reduction and fixation via the submandibular approach, Dr. Nam's method, and the endaural approach.(Fig. 1. A-C) Direct intraoral reduction and fixation with an angled driver with an intraoral reinsertion approach after extraoral fixation of the fractured fragment are representative intraoral approaches.(Fig. 1. D, 1. E) Thus, in Park et al.'s article 1 the B group of the conventional method might represent direct reduction and internal fixa-tion via the submandibular approach, which can be compared directly with extracorporeal reduction and fixation via vertical ramus osteotomy with the same submandibular approach. (Fig. 1. A, 1. B) Second, the term " extracorporeal fixation " was used in Park et al.'s article 1. This relatively new term can be found in PubMed (https://www.ncbi.nlm.nih.gov/pubmed/) in a total four articles 1,4-6 , including Park et al.'s article 1 , using the keywords " extracorporeal " and " condylar fracture. " This terminology was used by several authors to describe fixation of a fragment intentionally detached from the surrounding hard and soft tissue. We have used reduction and fixation methods without interrupted blocking of any surrounding tissue in many fracture patients, and sometimes intentional bone cutting is used for better visualization. In cases of complicated or complex fractures, we have also tried to reduce While reviewing literature regarding recommended approaches for mandibular condyle fracture, we found a recently published by Park et al. 1 , entitled " A follow-up study on extracorporeal fixation of condylar fractures using vertical ramus osteotomy. " Although this article was well written and provided a great deal of information, we would like to make a few recommendations based on recently accepted clinical approaches. This paper will also discuss accepted methods of condylar fracture repair and an updated method, intraoral reinsertion after extraoral fixation, will be introduced along with our commentary on Park et al.'s recently published article 1. In Park …
منابع مشابه
A follow-up study on extracorporeal fixation of condylar fractures using vertical ramus osteotomy
OBJECTIVES The aim of this study is to report the results of extracorporeal fixation in patients with mandibular condylar fractures and compare them with the clinical results of conservative treatment. MATERIALS AND METHODS The medical records of 92 patients (73 male [M] : 19 female [F], age 13-69 years, mean 33.1 years) treated for condylar fractures at the Department of Oral and Maxillofaci...
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