A Novel Modified Post Ramal Sling Eversion Approach For The Treatment Of Subcondylar Fractures

A Novel Modified Post-Ramal Sling Eversion Approach For The Treatment Of Subcondylar Fractures

Haren Pandya, Hiren Patel, Hitesh Dewan, Bijal Bhavsar, Urvi Shah, Parth Suthar, Smit Vithalani

Department of Oral and Maxillofacial Surgery (OMFS), Faculty of Dental Sciences (FDS), Dharmsinh Desai University (DDU), Nadiad, India

Article history:

Received: 02 August, 2021 Accepted: 13 August, 2021 Available Online: 09 March, 2022

Corresponding author: Haren Pandya

Haren Pandya, Hiren Patel, Hitesh Dewan, Bijal Bhavsar, Urvi Shah, Parth Suthar, Smit Vithalani are Winner of Alexander Fleming Award 2022 in Oral and Maxillofacial Surgery

Abstract

Objectives: The aim of this prospective study to assess the efficacy of a modified postramal sling eversion approach used for the treatment of subcondylar fractures. Because this approach allows direct access to the posterior surface of the ramus of the mandible and it provides a short distance to the condyle and sigmoid notch. Materials and Methods: Subcondylar/ high ramus mandible fractures were operated via the postramal sling eversion approach using delta plate fixation in 10 patients. The patients were evaluated for hematoma, infection, salivary fistula, facial nerve damage, occlusion, fracture site stability, chronic pain in the fracture site, hypoesthesia in the postoperative period. Results: The modified postramal sling eversion approach was found to be expeditious inadequately exposing the fracture site and enabling ORIF. In all cases, a good anatomical reduction was achieved with stable occlusion and without any signs of facial nerve impairment, however, the serous discharge was noted in one case. Conclusion: The modified postramal or ramal sling eversion approach provides minimal invasion and adequate exposure of the subcondylar region and it has minimal complications. So it should be considered as a commendable alternative in the management of subcondylar fractures. Keywords: High ramus mandible fracture, Open reduction, Postramal sling eversion approach, Subcondylar fracture.

Citation: Haren Pandya, Hiren Patel, Hitesh Dewan, Bijal Bhavsar, Urvi Shah, Parth Suthar, Smit Vithalani, 2022. Haren Pandya, Hiren Patel, Hitesh Dewan, Bijal Bhavsar, Urvi Shah, Parth Suthar, Smit Vithalani. Turkish Journal of Oral and Maxillofacial Surgery. Photon 104, 162-172

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