Degloving Injuries of the Oral Cavity Change the Operative Approach to Fractures of the Anterior Segment of the Mandible
Abstract
:Vascular Anatomy of the Anterior Segment
Pathomechanics of Lingual Degloving
Case Report
Discussion
Conclusion
- The periosteal blood supply to the inner cortex, provided by the lingual and mylohyoid branches of the inferior alveolar artery and the deep lingual artery, is compromised.
- The endosteal blood supply may fail or be slow to recanalize.
- An otherwise routine incision in the mandibular vestibule may render the bone relatively avascular and put survival of the anterior segment of the mandible at risk.
Acknowledgments
References
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Fracture(s) of the Anterior Segment with Partial or Total Disruption of Endosteal Blood Supply | |
---|---|
A | B |
Traumatic degloving of buccal cortex, with partial or total disruption of mental, facial, and superior labial vessels Vestibular incision, if needed; broad exposure of bone fragments Manipulation and direct stabilization of fracture segments | Traumatic degloving of lingual cortex, with partial or total disruption of lingual, mylohyoid, and deep lingual vessels Submental incision; limited elevation of the buccal periosteum Manipulation and direct stabilization of fracture segments |
© 2011 by the author. The Author(s) 2011.
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Pollock, R.A.; Huber, K.M.; Van Sickels, J.E. Degloving Injuries of the Oral Cavity Change the Operative Approach to Fractures of the Anterior Segment of the Mandible. Craniomaxillofac. Trauma Reconstr. 2011, 4, 137-143. https://doi.org/10.1055/s-0031-1286116
Pollock RA, Huber KM, Van Sickels JE. Degloving Injuries of the Oral Cavity Change the Operative Approach to Fractures of the Anterior Segment of the Mandible. Craniomaxillofacial Trauma & Reconstruction. 2011; 4(3):137-143. https://doi.org/10.1055/s-0031-1286116
Chicago/Turabian StylePollock, Richard A., Katherine M. Huber, and Joseph E. Van Sickels. 2011. "Degloving Injuries of the Oral Cavity Change the Operative Approach to Fractures of the Anterior Segment of the Mandible" Craniomaxillofacial Trauma & Reconstruction 4, no. 3: 137-143. https://doi.org/10.1055/s-0031-1286116
APA StylePollock, R. A., Huber, K. M., & Van Sickels, J. E. (2011). Degloving Injuries of the Oral Cavity Change the Operative Approach to Fractures of the Anterior Segment of the Mandible. Craniomaxillofacial Trauma & Reconstruction, 4(3), 137-143. https://doi.org/10.1055/s-0031-1286116