Mandibular subluxation for distal internal carotid artery exposure in edentulous patients.
J Vasc Surg
; 50(6): 1519-22, 2009 Dec.
Article
em En
| MEDLINE
| ID: mdl-19782520
ABSTRACT
Four patients with high internal carotid artery (ICA) occlusive disease were indicated for surgical endarterectomy and needed additional exposure besides regular head rotation and extension. When indicated, in our clinic this is usually achieved by mandibular subluxation with interdental wiring. Due to dental wear and periodontal disease, all 4 patients were edentulous. As a consequence, the technique of interdental wiring could not be used. In this technical note we will explain a method for interarch fixation with the use of two ipsilateral monocortical miniscrews and wiring, and the use of patients' pre-existing mandibular implants and provisional overdenture. This method gives rise to an additional exposure of 15 to 20 mm of the ICA.
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Artéria Carótida Interna
/
Arcada Edêntula
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Endarterectomia das Carótidas
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Estenose das Carótidas
/
Procedimentos Cirúrgicos Bucais
/
Mandíbula
Limite:
Aged
/
Female
/
Humans
/
Male
/
Middle aged
Idioma:
En
Revista:
J Vasc Surg
Assunto da revista:
ANGIOLOGIA
Ano de publicação:
2009
Tipo de documento:
Article
País de afiliação:
Holanda