Coronoïdectomie intra-orale : note technique

Gage, Jeremy; Gallucci, A.; Stroumsa, Remy; Foletti, J.M.; Guyot, Laurent; Chossegros, C.

doi:10.1016/j.revsto.2015.08.001

Cited by 3 publications

(4 citation statements)

References 8 publications

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“…Through this incision, the coronoid process can be exposed along its lateral aspect, and subperiosteal dissection and temporalis myotomy can be performed. 10 Endoscopy may also aid direct visualization of the fracture fragment. 11 This classic intraoral approach, however, may demand extensive retraction (protrusion and excursion) of the mandible during coronoidectomy, which in turn may cause internal derangement from condylar unseating.…”

Section: Discussionmentioning

confidence: 99%

“…The classic description of the intraoral approach to coronoidectomy involves a linear incision beginning along level of the upper third of the anterior border of the ramus to the area of the second mandibular molar along the external oblique ridge. Through this incision, the coronoid process can be exposed along its lateral aspect, and subperiosteal dissection and temporalis myotomy can be performed 10 . Endoscopy may also aid direct visualization of the fracture fragment 11 .…”

Section: Discussionmentioning

confidence: 99%

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A Novel Approach to Coronoidectomy: the Modified Keen Technique

Roy

Reid

2020

Journal of Craniofacial Surgery

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Introduction: Coronoid fractures are relatively rare fractures of the craniofacial skeleton, but typically occur concomitantly with high-velocity craniofacial trauma to the midface and lateral mandible. Management of coronoid fractures may vary, but when surgical excision is indicated, treatment frequently involves an intraoral approach through a posterior intraoral incision along the mandibular ramus. Here, the authors present an alternative and novel approach to the coronoid process based on the Keen approach to the lateral midface. Technical note: The authors present a patient with a left zygomatico-maxillary complex fracture and left coronoid fracture. After disimpaction of the zygomatico-maxillary complex fracture, a maxillary vestibular incision in the gingivobuccal sulcus was made. After subperiosteal dissection, the maxillary fracture was exposed and fixated. A modified Keen approach was used to expose the coronoid process, perform temporalis myotomy, and excise the fracture fragment. Discussion: Compared to the classic intraoral approach to coronoidectomy, the modified Keen approach is a quick, versatile technique that allows for direct visualization of the coronoid process without the use of endoscopy, facilitates fixation of concurrent midfacial fractures, and utilizes an anterior intraoral incision that is easy to retract and close. For these reasons, the modified Keen technique for coronoidectomy should be considered in the treatment of trismus when an intraoral approach is indicated.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

A Novel Approach to Coronoidectomy: the Modified Keen Technique

Roy

Reid

2020

Journal of Craniofacial Surgery

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“…Intraoral coronoidectomy is the treatment of choice 32,34,35,37,38 . Extraoral approaches are riskier for facial nerve injury and must be avoided 37,38 . Longterm physiotherapy is mandatory immediately after surgery 38 .…”

Section: Jacob´s Diseasementioning

confidence: 99%

“…Extraoral approaches are riskier for facial nerve injury and must be avoided 37,38 . Longterm physiotherapy is mandatory immediately after surgery 38 . On histopathological examination of the removed bone, it is possible to see cartilaginous tissue with numerous irregularly arranged chondrocytes separated by a minimal matrix, alongside osteoid tissue with few areas of fibrous tissue 34 .…”

Section: Jacob´s Diseasementioning

confidence: 99%

Peculiar Features and Surgical Approach in Syndromes With Maxillofacial Implications: A Case Series and Updated Review

Grillo¹,

Madruga²,

Júnior³

et al. 2023

JBSMFS

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Objectives: This paper aims to discuss some important aspects of surgical planning and treatment of some syndromes with maxillofacial implications. Methods: A case series of five different syndromes with maxillofacial implications was reported. We searched MEDLINE for a surgical approach to these maxillofacial syndromes. PROCESS guidelines have been adopted for the current case series. A Pearson correlation test was performed and considered significant only with a 95% confidence interval. Discussion: The number of publications on the subject of maxillofacial surgery is not related to the incidence of the reported syndromes. Surgical planning and treatment have been discussed in cases of Eagle´s syndrome, Jacob´s disease, Crouzon syndrome, Cleidocranial dysplasia, and Goldenhar syndrome. A brief report of the features of the syndrome and surgical procedures involved were evaluated. Conclusions: Styloidectomy and coronoidectomy are considered the best treatments for Eagle´s syndrome and Jacob´s disease, respectively. For some syndromes, tailored surgical treatment is essential. Some data must be considered in surgical planning and treatment. Depending on one characteristic or another, the surgical procedure can be chosen.

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