My new approach
- 1. SURGICAL APPROACHES TO THE CONDYLEDr.S.ShanmugasundaramREADERSRM DENTAL COLLEGE, RAMAPURAM
- 2. SURGICAL ANATOMYDr.S.Shanmugasundaram, 15th AOMSI, KanyakumariFACIAL NERVE – 2 TRUNKSRETROMANDIBULAR VEINGREATER AURICULAR NERVEPAROTID GLAND
- 3. LOCATING THE FACIAL NERVEA modified pre-auricular approach to the TMJ and malar arch, BJOMS 17(1979), 91-103.Postglenoid tubercleDr.S.Shanmugasundaram, 15th AOMSI, Kanyakumari
- 4. Dr.S.Shanmugasundaram, 15th AOMSI, Kanyakumari
- 5. VARIOUS APPROACHESRETROMANDIBULARPREAURICULAR RHYTIDECTOMYENDAURALSUBMANDIBULARINTRAORALDr.S.Shanmugasundaram, 15th AOMSI, Kanyakumari
- 6. Dr.S.Shanmugasundaram, 15th AOMSI, KanyakumariRETROMANDIBULAR APPROACHHINDS & GIROTTI 1958
- 7. Courtesy :Edward EllisDr.S.Shanmugasundaram, 15th AOMSI, Kanyakumari
- 8. Dr.S.Shanmugasundaram, 15th AOMSI, Kanyakumari
- 9. Dr.S.Shanmugasundaram, 15th AOMSI, Kanyakumari
- 10. Dr.S.Shanmugasundaram, 15th AOMSI, Kanyakumari
- 11. Dr.S.Shanmugasundaram, 15th AOMSI, Kanyakumari
- 12. VESNAVER – PERIAURICULAR APPROACH 2005Dr.S.Shanmugasundaram, 15th AOMSI, Kanyakumari
- 13. RETROMANDIBULAR WITH MODIFIED TRANSPAROTID APPROACHDr.S.Shanmugasundaram, 15th AOMSI, Kanyakumari
- 14. Dr.S.Shanmugasundaram, 15th AOMSI, Kanyakumari
- 15. Dr.S.Shanmugasundaram, 15th AOMSI, Kanyakumari
- 16. Dr.S.Shanmugasundaram, 15th AOMSI, Kanyakumari
- 17. Dr.S.Shanmugasundaram, 15th AOMSI, Kanyakumari
- 18. Dr.S.Shanmugasundaram, 15th AOMSI, Kanyakumari
- 19. Dr.S.Shanmugasundaram, 15th AOMSI, Kanyakumari
- 20. PREAURICULAR APPROACHHistory –Early description by Blair – Inverted L incisionDingman and Grabb modified – Making the angle between vertical and superior portions of incision more obtuse and rounding the angle of intersection.Lempert and Shambaugh modified – Carrying the incision to varying degrees behind the tragus and into EAC , creating Endaural incision.Dr.S.Shanmugasundaram, 15th AOMSI, Kanyakumari
- 21. Dr.S.Shanmugasundaram, 15th AOMSI, KanyakumariCourtesy : Edward Ellis
- 22. INCISIONSBlair’s inverted hockey stickThoma’s Angulated IncisionDingman’s IncisionEndaural IncisionDingman’s incisionEndauralincisonPopowich and Crane incisionPost ramalPosterior Auricular IncisionPopowich & Crane IncisionPosterior auricularSubmandibularDr.S.Shanmugasundaram, 15th AOMSI, Kanyakumari
- 23. THOMA’S ANGULATED INCISIONDr.S.Shanmugasundaram, 15th AOMSI, Kanyakumari
- 24. Dr.S.Shanmugasundaram, 15th AOMSI, Kanyakumari
- 25. Dr.S.Shanmugasundaram, 15th AOMSI, Kanyakumari
- 26. AL-KAYAT BRAMLEYA modified pre-auricular approach to the TMJ and malar arch, BJOMS 17(1979), 91-103.Dr.S.Shanmugasundaram, 15th AOMSI, Kanyakumari
- 27. Dr.S.Shanmugasundaram, 15th AOMSI, Kanyakumari
- 28. Dr.S.Shanmugasundaram, 15th AOMSI, Kanyakumari
- 29. Dr.S.Shanmugasundaram, 15th AOMSI, Kanyakumari
- 30. MODIFIED ENDAURALDr.S.Shanmugasundaram, 15th AOMSI, Kanyakumari
- 31. RHYTIDECTOMY APPROACHDr.S.Shanmugasundaram, 15th AOMSI, Kanyakumari
- 32. CERVICO FASCIAL RHYTIDECTOMYDr.S.Shanmugasundaram, 15th AOMSI, Kanyakumari
- 33. Dr.S.Shanmugasundaram, 15th AOMSI, Kanyakumari
- 34. LAZY S INCISIONDr.S.Shanmugasundaram, 15th AOMSI, Kanyakumari
- 35. Dr.S.Shanmugasundaram, 15th AOMSI, Kanyakumari
- 36. Dr.S.Shanmugasundaram, 15th AOMSI, Kanyakumari
- 37. Dr.S.Shanmugasundaram, 15th AOMSI, Kanyakumari
- 38. SUBMANDIBULAR INCISIONDr.S.Shanmugasundaram, 15th AOMSI, Kanyakumari
- 39. Dr.S.Shanmugasundaram, 15th AOMSI, KanyakumariCourtesy: Edward Ellis
- 40. Dr.S.Shanmugasundaram, 15th AOMSI, Kanyakumari
- 41. INTRAORAL APPROACHSteinhauser (1964) was the first to report a successful osteosynthesis following intraoral approach.Since then it has been used by Pape et al(1980), Horch et al (1983), Kitayama (1989)It requires an incision through the vestibular mucosa along the anterior edge of the ascending ramus and the periosteum and masseter are reflected.Miniplates are fixed by means of a transbuccaltrocar or an angled screwdriver.Dr.S.Shanmugasundaram, 15th AOMSI, Kanyakumari
- 42. Intraoral IncisionEndoscopic Dr.S.Shanmugasundaram, 15th AOMSI, Kanyakumari
- 43. ENDOSCOPIC APPROACH Equipment–30° angle 4mm diameter endoscope ( Karl Storz , Tuttlingen , Germany ) Xenon light source Suction and Irrigation deviceContra-angled handpieceDr.S.Shanmugasundaram, 15th AOMSI, Kanyakumari
- 44. COMPLICATIONSNerve injury -temporary -permanentSialoceleInfectionHematomaBad scar.Dr.S.Shanmugasundaram, 15th AOMSI, Kanyakumari
- 45. Dr.S.Shanmugasundaram, 15th AOMSI, Kanyakumari
- 46. POINTS TO REMEMBERPREAURICULAR APPROACH :High condylar fracturesIncision within 8mmTemporal extensionFacial nerve identificationRETROMANDIBULAR APPROACH :Subcondylar fracturesModified transparotid dissectionHorizontal mattress suture.Dr.S.Shanmugasundaram, 15th AOMSI, Kanyakumari
- 47. ACKNOWLEDGEMENTFACULTY OF THE DEPT OF OMFS, SRMDC, RAMAPURAM, CHENNAI.Dr. GUNASEELAN RAJAN, DIRECTOR, RAJAN DENTAL INSTITUTE, MYLAPORE, CHENNAI. BONE & JOINT HOSPITAL, ANNA NAGAR, CHENNAI. Dr.S.Shanmugasundaram, 15th AOMSI, Kanyakumari
- 48. THANK YOUDr.S.Shanmugasundaram, 15th AOMSI, Kanyakumari