Mandibular subluxation for distal internal carotid artery exposure in edentulous patients.

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.

journal_name

J Vasc Surg

authors

Jaspers GW,Witjes MJ,van den Dungen JJ,Reintsema H,Zeebregts CJ

doi

10.1016/j.jvs.2009.07.068

subject

Has Abstract

pub_date

2009-12-01 00:00:00

pages

1519-22

issue

6

eissn

0741-5214

issn

1097-6809

pii

S0741-5214(09)01479-7

journal_volume

50

pub_type

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