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[Eckelt's technic: an evaluation of the access route used at Salpêtrière Hospital]
J P Meningaud1, E Maladière, F Bado
1Service de Stomatologie et Prothèse Maxillo-Faciale, Groupe Hospitalier Pitté-Salpêtrière, Paris.
Aim:
We report a prospective study undertaken to investigate the morbidity connected with the approach of lag screw osteosynthesis for the treatment of subcondylar fractures in the department of Maxillo-Facial Surgery at the Salpêtrière University Hospital.
Method:
24 patients have been operated between November 1997 and December 1998. We estimated the accessibility, the size and quality of scars the satisfaction index, and the complication rate.
Results:
The average size of scars was 3 cm (2.5-4). Their quality was satisfactory, except for an hypertrophic and an invaginated one. The satisfaction index was always excellent and often superior to the surgeon one.
Complications:
three paresis in the mental territory of the facial nerve regressive in three months, a salivary fistula regressive in three weeks, an hematoma and a subcutaneous infection. These different criteria improved during the study.
Conclusion:
The approach is not free of risks but these ones seem to decrease with surgeon's experience.