Oral Exam

• Published in: Canadian journal of plastic surgery Vol. 26; no. 2; pp. 134 - 136
• Main Authors: McKay, Douglas R., Boyd, Kirsty U.
• Format: Journal Article
• Language: English
• Published: Los Angeles, CA SAGE Publications 01.05.2018; SAGE PUBLICATIONS, INC
• Subjects: Fractures; Oral Exam; Pain; Ontario Canada
• ISSN: 2292-5503; 2292-5511
• DOI: 10.1177/2292550318772817

Describe your surgical plan for managing this patient. * Surgical management о Placement of arch bars о Right canine extraction о Bilateral external incisions to expose fractures о Mandibular sequestrectomy о Deep bone biopsy for culture о Rigid fixation: external fixation or rigid mandibular reconstruction plate (locking screws if available) о Bone graft if satisfied that infection cleared and fixation is rigid * Medical management о Infectious Disease consult о Six weeks of IV antibiotics based on bone cultures Objective 4: What are the absolute indications for opening the condyle according to Zide and Kent? * Displacement into the middle cranial fossa * Failure of obtaining adequate occlusion by closed reduction * Lateral extracapsular displacement * Invasion by foreign body Objective 4: What are the approaches to the mandibular condyle? * Preauricular * Retromandibular * Submandibular * Coronal with extension * Intraoral +/- endoscopic Corresponding Author: Douglas R. McKay, MD, MBA, FRCSC, Division of Plastic Surgery, Department of Surgery, Queen's University, Hotel Dieu Hospital, 166 Brock Street, Sydenham 3 S3023, Kingston, Ontario, Canada K7L 5G2.