Oral and maxillofacial surgery最新文献

{"title":"The contralateral based Cervico-pectoral rotation flap for large neck defects.","authors":"Naveena A N Kumar,&nbsp;Punit Singh Dikhit,&nbsp;Nawaz Usman,&nbsp;Keshava Rajan,&nbsp;Preethi S Shetty","doi":"10.1007/s10006-021-01022-1","DOIUrl":"https://doi.org/10.1007/s10006-021-01022-1","url":null,"abstract":"<p><strong>Purpose: </strong>We here describe our technique of contralateral based cervico-pectoral (CCP) flap for the reconstruction of large neck defect following resection of primary tumour or recurrence particularly due to the lymph node mass.</p><p><strong>Methods: </strong>The study included the patients who underwent major head and neck surgical ablative procedures followed by CCP flap reconstruction between July 2020 and November 2020. Patients were kept on rigorous regular follow-up to evaluate for flap related complications like flap necrosis, flap dehiscence and oro-cutaneous fistula. Among the 5 patients included and presented in the series, 2 patients were salvage cases post adjuvant treatment.</p><p><strong>Results: </strong>Five patients who have undergone head and neck reconstruction using CCP flap were included. No major flap related complications occurred in post-operative period.</p><p><strong>Conclusion: </strong>The CCP flap is simple to perform and reproducible and can be added to the armamentarium for the reconstruction of large upper neck defect following resection of primary tumour or recurrence involving the cervical skin in resource limited setting and in contraindication for microvascular reconstruction. Proper planning, meticulous dissection and adequate release or rotation and tension free closure would provide best outcomes.</p>","PeriodicalId":520733,"journal":{"name":"Oral and maxillofacial surgery","volume":" ","pages":"581-586"},"PeriodicalIF":1.8,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9643203/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39730954","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effect of low-speed drilling without irrigation on osseointegration: an experimental study in dogs.","authors":"Shigeo Fujiwara,&nbsp;Daniele Botticelli,&nbsp;Naoki Kaneko,&nbsp;Joaquin Urbizo Velez,&nbsp;Margherita Tumedei,&nbsp;Franco Bengazi","doi":"10.1007/s10006-021-01023-0","DOIUrl":"https://doi.org/10.1007/s10006-021-01023-0","url":null,"abstract":"<p><strong>Objective: </strong>To study the early phases of osseointegration at implants installed in sites prepared with either high rotational speed with irrigation or low rotational speed without irrigation.</p><p><strong>Material and methods: </strong>After 3 months from tooth extraction, two implants were installed in one side of the mandible of twelve dogs. The osteotomies were prepared either at 60 rpm without irrigation or at 750 rpm with refrigeration. Biopsies were obtained after 4 and 8 weeks of healing, six animals each period for histological analyses.</p><p><strong>Results: </strong>After 4 weeks of healing, new bone percentage in contact with the implant surface (BIC%) was 46.6 ± 7.3% and 43.1 ± 6.8% at the low- and high-speed sites, respectively (p = 0.345). After 8 weeks of healing, the fractions increased to 60.0 ± 11.1% and 60.2 ± 6.2%, respectively (p = 0.753).</p><p><strong>Conclusions: </strong>Implants installed in sites prepared using either low-rotational drilling without irrigation or high speed with irrigation presented similar amounts of osseointegration.</p>","PeriodicalId":520733,"journal":{"name":"Oral and maxillofacial surgery","volume":" ","pages":"595-601"},"PeriodicalIF":1.8,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39773437","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Avoidance of milk and dairy products after oral surgery-is such a recommendation still valid? A cross-sectional study among German and international oral and maxillofacial surgeons and dental practitioners with review of the literature.","authors":"Schiwa Seyedi Moghaddam,&nbsp;Andreas Neff","doi":"10.1007/s10006-021-01017-y","DOIUrl":"https://doi.org/10.1007/s10006-021-01017-y","url":null,"abstract":"<p><strong>Purpose: </strong>For prevention of wound-healing complications, patients in German-speaking countries are traditionally advised to avoid consumption of milk and dairy products after oral surgery. In the absence of national and international guidelines, this study investigates scientific evidence and compares international practice, frequency scale, and rationale behind such recommendation.</p><p><strong>Methods: </strong>Comparison of a German cross-sectional mono-center-questionnaire pilot study and a survey among international oral and maxillofacial surgeons (OMFS), specialized oral surgeons and general dentists, evaluating international practice regarding post-operative dietary and nutrition recommendations. Our literature review further assessed scientific evidence for relevant effects of probiotics, prebiotics, and/or synbiotics.</p><p><strong>Results: </strong>Among German study participants, 56% (n = 64/114) advise patients to avoid milk and dairy products, with 42% of OMFS (n = 38) and 65% (n = 76) of the general dentists recommending abstention (p = .027). In striking contrast, such recommendation could not be identified in our international survey (n = 143) (t test, p < .001) nor in the literature. There were significant differences between German and international study participants regarding the rationale for dietary recommendations, with dental schools and literature most frequently indicated as sources (Fisher's exact test, p < .001).</p><p><strong>Conclusion: </strong>The hypothesis of a harmful effect of the consumption of milk and dairy products after dentoalveolar surgery could not be supported by evidence. The recommendation to avoid dairy products post-surgery was identified as a specific phenomenon practiced almost exclusively in German-speaking countries. Corresponding recommendations, most probably based on a now irrelevant risk of contracting tuberculosis from milk products, can at present no longer be substantiated.</p>","PeriodicalId":520733,"journal":{"name":"Oral and maxillofacial surgery","volume":" ","pages":"563-573"},"PeriodicalIF":1.8,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9643201/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39558162","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Accuracy of three-dimensional soft tissue profile prediction in orthognathic surgery.","authors":"Amanda Lury Yamashita,&nbsp;Liogi Iwaki Filho,&nbsp;Flávio Wellington da Silva Ferraz,&nbsp;Adilson Luiz Ramos,&nbsp;Isolde Terezinha Dos Santos Previdelli,&nbsp;Omar Cléo Neves Pereira,&nbsp;Elen de Souza Tolentino,&nbsp;Mariliani Chicarelli,&nbsp;Lilian Cristina Vessoni Iwaki","doi":"10.1007/s10006-021-00988-2","DOIUrl":"https://doi.org/10.1007/s10006-021-00988-2","url":null,"abstract":"<p><strong>Purpose: </strong>To evaluate the accuracy of three-dimensional (3D) soft tissue prediction in bimaxillary orthognathic surgery.</p><p><strong>Methods: </strong>Cone-beam computed tomographs of 88 patients with class II (n = 46) and class III (n = 42) malocclusions, who underwent bimaxillary orthognathic surgery, were included in this retrospective study. 3D soft tissue prediction and postoperative outcome were compared by using ten landmarks of facial soft tissues. Patients' sex and age were also assessed. Results were analyzed using a mixed model methodology (p < 0.05).</p><p><strong>Results: </strong>The success criterion adopted was a mean discrepancy of < 2 mm. Most mandibular landmarks indicated a tendency for underprediction with a downward direction in class II patients, with some values > 2 mm. In class III, there was overprediction with a downward direction for the mandibular landmarks, with values < 2 mm. More accurate results were found in female and older patients.</p><p><strong>Conclusions: </strong>3D surgical planning showed clinically acceptable results for predicting soft tissues in patients undergoing bimaxillary orthognathic surgery, with more accurate results for class III patients. Although some differences were found when age and sex were interacted, a consistent association between these variables could not be stated. These results support the clinician, as accuracy can provide a strong guide to the surgeon when planning surgical orthodontic treatment.</p>","PeriodicalId":520733,"journal":{"name":"Oral and maxillofacial surgery","volume":" ","pages":"271-279"},"PeriodicalIF":1.8,"publicationDate":"2022-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1007/s10006-021-00988-2","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39216134","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Geranyl-geraniol addition affects potency of bisphosphonates-a comparison in vitro promising a therapeutic approach for bisphosphonate-associated osteonecrosis of the jaw and oral wound healing.","authors":"Marius Otto,&nbsp;Christine Lux,&nbsp;Tilo Schlittenbauer,&nbsp;Frank Halling,&nbsp;Thomas Ziebart","doi":"10.1007/s10006-021-00982-8","DOIUrl":"https://doi.org/10.1007/s10006-021-00982-8","url":null,"abstract":"<p><strong>Purpose: </strong>Analysis of the influence of geranyl-geraniol (GG) addition on four bisphosphonate derivatives regarding their influence on cell viability and migration ability of bone metabolism and endothelial cells in vitro.</p><p><strong>Methods: </strong>Clodronate, pamidronate, ibandronate, and zoledronate were observed with and without GG addition, for their effect on human osteoblasts (HOB), normal human dermal fibroblasts (NHDF), human endothelial progenitor cells (EPC), and endothelial cells of the human umbilical cord (HUVEC) using migration-, MTT-, and colony-forming cell assays.</p><p><strong>Results: </strong>Data pointed to a depressing effect of all bisphosphonates on the migration ability of NHDF, EPC, and HOB. MTT assay demonstrated a decreased cell viability of HUVEC of all bisphosphonates in a 50 μM concentration and of NHDF when treated with 50 μM of clodronate, ibandronate, or zoledronate. Tested drugs showed a depressing effect on colony-forming potential of EPC even in a 5 μM concentration. GG addition demonstrated an attenuate impact on bisphosphonate effect on all primary cell cultures, respectively.</p><p><strong>Conclusion: </strong>In vitro comparison showed that the addition of GG weakens the effect of all bisphosphonates examined. It supports investigations that suggest GG to be able to prevent bisphosphonate-associated osteonecrosis of the jaw (BP-ONJ) in vivo. Future clinical trials may discover the local therapeutic use of GG for the prevention of BP-ONJ.</p>","PeriodicalId":520733,"journal":{"name":"Oral and maxillofacial surgery","volume":" ","pages":"321-332"},"PeriodicalIF":1.8,"publicationDate":"2022-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1007/s10006-021-00982-8","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39311246","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The implant position accuracy between using only surgical drill guide and surgical drill guide with implant guide in fully digital workflow: a randomized clinical trial.","authors":"Chalermchai Ngamprasertkit,&nbsp;Weerapan Aunmeungthong,&nbsp;Pathawee Khongkhunthian","doi":"10.1007/s10006-021-00975-7","DOIUrl":"https://doi.org/10.1007/s10006-021-00975-7","url":null,"abstract":"<p><strong>Background: </strong>To evaluate and compare accuracy in position and inclination of a single-tooth implant placement using tooth-supported surgical drill guide (SDG) and surgical drill guide with implant insertion guide (SDIG) in fully digital workflow.</p><p><strong>Materials and methods: </strong>Thirty partially single edentulous patients were recruited. After randomization, participants were divided into 2 groups equally. The first group underwent implant placement through SDG only, while the second group was subjected to SDIG. All procedure proceeded under a fully digital workflow as the combination of digital scanning from an intraoral scanner, 3D radiographic images from cone-beam computed tomography (CBCT), implant planning software, and a 3D manufacturing machine. A post-operative CBCT was performed to compare the deviations (7 parameters) between planned and actual implant positions.</p><p><strong>Results: </strong>The mean global deviations at the shoulder and apex were 0.74 ± 0.36 and 1.29 ± 0.61 mm, respectively in the SDG group and 0.48 ± 0.22 mm and 0.71 ± 0.31 mm, respectively in the SDIG group. Likewise, the other parameters in the SDIG group showed fewer deviations than SDG for all measurements. Statistically significant differences were indicated by all parameters except for the horizontal deviation at the implant shoulder (p < .05).</p><p><strong>Conclusion: </strong>In single-tooth implant placement with a tooth-supported guide using a computer-assisted (static) system with the SDIG could reduce deviations of actual implant position when compared with using SDG only. Besides, guided implant surgery by fully digital workflow is a practical procedure and provides precise implant position regarding the prosthetic-driven concept.</p>","PeriodicalId":520733,"journal":{"name":"Oral and maxillofacial surgery","volume":" ","pages":"229-237"},"PeriodicalIF":1.8,"publicationDate":"2022-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1007/s10006-021-00975-7","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39034322","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Proximity of mandibular third molar root(s) to surrounding cortical bone: cone beam computed tomography (CBCT) and panoramic findings.","authors":"Saowapap Wihokrut,&nbsp;Chakorn Vorakulpipat,&nbsp;Pattamawan Manosuthi,&nbsp;Aurasa Waikakul","doi":"10.1007/s10006-021-00979-3","DOIUrl":"https://doi.org/10.1007/s10006-021-00979-3","url":null,"abstract":"<p><strong>Purpose: </strong>We evaluated the relationship between mandibular third molar roots (M3Ms) and surrounding cortical bone using cone beam computed tomography (CBCT) and panoramic findings. We studied (a) the location of mandibular third molar roots in relation with cortical bone in terms of contact, penetration, and perforation on CBCT; (b) the relationship between characteristics of a root in panoramic findings and the CBCT image (entire and segmentally); and (c) the relationship of the root plane in panoramic findings vs. CBCT.</p><p><strong>Material and methods: </strong>One hundred five teeth with 224 roots of mandibular third molar from 73 patients were evaluated by using cone beam computed tomography and panoramic image.</p><p><strong>Result: </strong>The relationships were assessed using 105 images of impacted M3Ms: 104/105 (99%) showed cortical bone involvement (30.4% penetration and 68.6% perforation). The more apical the segment, the higher the proportion of perforation. Most (79.9%) of the M3M roots involved a lingual cortex with 46.9% penetration and 49.2% perforation. The panoramic signs of segmental root images-viz. clear and blurred-were not associated with cortical penetration or perforation. Panoramic signs of individual root images-in the same and different planes-could be used to predict root plane M3M roots. The same appearance in the panoramic image was significantly related to the same plane of the root in CBCT (p-value 0.048).</p><p><strong>Conclusion: </strong>These findings could contribute to enhanced radiological assessment and surgical planning.</p>","PeriodicalId":520733,"journal":{"name":"Oral and maxillofacial surgery","volume":" ","pages":"311-319"},"PeriodicalIF":1.8,"publicationDate":"2022-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1007/s10006-021-00979-3","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39296714","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Spongiotic hyperplasia of the oral mucosa: case series and immunohistochemical analysis.","authors":"Heitor Albergoni Silveira,&nbsp;Victor Hugo Toral-Rizo,&nbsp;Edith Lara-Carrillo,&nbsp;Matheus Henrique Lopes Dominguete,&nbsp;Evânio Vilela Silva,&nbsp;Alfredo Ribeiro-Silva,&nbsp;Andreia Bufalino,&nbsp;Luciana Yamamoto Almeida,&nbsp;Jorge Esquiche León","doi":"10.1007/s10006-021-00996-2","DOIUrl":"https://doi.org/10.1007/s10006-021-00996-2","url":null,"abstract":"<p><p>The localized juvenile spongiotic gingival hyperplasia (LJSGH) mainly affects the maxillary vestibular attached gingiva of juvenile patients, without sex predilection. Similar lesions involving extragingival sites have not been reported to date. Here, we report 2 cases of extragingival soft tissue lesions with similar clinicopathological features to those reported in LJSGH and 12 cases of intraoral reactive soft tissue lesions microscopically showing LJSGH-like focal areas. The 2 cases were adult patients, affecting the maxillary alveolar ridge (55-year-old female) and hard palate (78-year-old male), which were diagnosed as \"spongiotic hyperplasia of the oral mucosa.\" The 12 intraoral reactive soft tissue lesions (6 men and 6 women; mean age, 49.5 years) were diagnosed as inflammatory fibrous hyperplasia (n = 6), peripheral ossifying fibroma (n = 3), and pyogenic granuloma (n = 3), each of them presenting LJSGH-like focal areas. By immunohistochemistry, the spongiotic hyperplasia areas showed positivity for CK19, CK14, CK34βE12, and CAM5.2 (weak/focal), while CK4 was negative. Considering the anatomical locations (extragingival) of these 2 cases, the term \"spongiotic hyperplasia of the oral mucosa\" is suggested. Moreover, LJSGH-like focal areas can be detected when microscopically assessing common intraoral reactive soft tissue lesions.</p>","PeriodicalId":520733,"journal":{"name":"Oral and maxillofacial surgery","volume":" ","pages":"333-337"},"PeriodicalIF":1.8,"publicationDate":"2022-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1007/s10006-021-00996-2","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39318253","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A volumetric study of mandibular condyles in orthognathic patients by semiautomatic segmentation.","authors":"Max-Philipp Lentzen,&nbsp;Maximilian Riekert,&nbsp;Johannes Buller,&nbsp;Andrea Grandoch,&nbsp;Matthias Zirk,&nbsp;Joachim E Zoeller,&nbsp;Matthias Kreppel","doi":"10.1007/s10006-021-00976-6","DOIUrl":"https://doi.org/10.1007/s10006-021-00976-6","url":null,"abstract":"<p><strong>Purpose: </strong>This study was conducted to elucidate volumetric data of mandibular condyles of orthognathic patients by analyzing cone beam computed tomography images based upon semiautomatic segmentation.</p><p><strong>Methods: </strong>Cone beam computed tomography images of 87 patients with malocclusions were analyzed in this retrospective study. Patients were between 17 and 53 years old and diagnosed with Angle class I, II, or III malocclusion. By using the validated open-source software \"ITK-SNAP,\" the volumetric measurements of 174 mandibular condyles were performed. Volumetric analysis was performed according to intra-subject side differences by paired Student t test. In accordance to inter-subject side, gender, age and type of malocclusion differences bivariate analysis and ANOVA were applied.</p><p><strong>Results: </strong>The mean volume for the right condyle was 1.378 ± 0.447 cm³, with a maximum of 2.379 cm³ and a minimum of 0.121 cm³. The mean volume for the left side was 1.435 ± 0.474 cm³, with a maximum of 3.264 cm³ and a minimum of 0.109 cm³. Bivariate analysis indicated a highly significant inter-subject difference between the volume of the left and right mandibular condyles (p < 0.01). Females had a significantly smaller condyle volume than males (p < 0.05 left condyle; p < 0.01 right condyle).</p><p><strong>Conclusion: </strong>The fact that shape and volume of mandibular condyles show a high susceptibility to pathological alterations and particularly malocclusions makes a precise knowledge about volumetric changes indispensable. Our results show that significant inter-subject differences in condyle volume could be found with respect to the side and gender. Larger volumes could be assessed for the left condyle and for male patients.</p>","PeriodicalId":520733,"journal":{"name":"Oral and maxillofacial surgery","volume":" ","pages":"205-212"},"PeriodicalIF":1.8,"publicationDate":"2022-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1007/s10006-021-00976-6","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39081904","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"'Temporomandibular joint hematoma nerve block'-a new technique in management of mandibular condylar fractures.","authors":"Prajwalit Kende,&nbsp;Maroti Wadewale,&nbsp;Jayant Landge,&nbsp;Harsh Desai,&nbsp;Shambhavi Nadkarni,&nbsp;Mrimingsi Kri","doi":"10.1007/s10006-021-00987-3","DOIUrl":"https://doi.org/10.1007/s10006-021-00987-3","url":null,"abstract":"<p><strong>Purpose: </strong>Management of mandibular condylar fracture has invited a great deal of controversy in maxillofacial trauma care. In the orthopaedic literature, surgeons have exhaustively described the use of a 'hematoma block' technique during closed reduction (CR) of the ankle or other long bone fractures. Post-traumatic ankylosis of the temporomandibular joint (TMJ) is due to development and progression of the intra-articular hematoma. We improvised their technique for use during CR of mandibular condylar fractures. The desirable effects which can be achieved with our proposed 'novel TMJ hematoma nerve block' technique are evacuating the accumulated hematoma, blocking auriculotemporal and masseteric nerves which in turn causes relaxation of the lateral pterygoid muscle, all in all, favouring accurate anatomical reduction of the fracture.</p><p><strong>Method: </strong>Thirteen patients with isolated unilateral condylar fractures were subjected to our new technique. The parameters assessed were the amount of hematoma evacuated, pain in TMJ region during reduction and postoperative anatomic reduction on cone beam computed tomography (CBCT).</p><p><strong>Results: </strong>All the patients showed a significant reduction in pain and lowered post-reduction angulation between the proximal condylar and distal ramal segments.</p><p><strong>Conclusion: </strong>Our technique is minimally invasive, safe, simple to perform, yielding excellent anatomic reduction of the fracture fragments.</p>","PeriodicalId":520733,"journal":{"name":"Oral and maxillofacial surgery","volume":" ","pages":"247-251"},"PeriodicalIF":1.8,"publicationDate":"2022-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1007/s10006-021-00987-3","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39168219","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}