Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

Mandibular subluxation for high carotid exposure.

D F Fisher, G P Clagett, J I Parker

    Journal of Vascular Surgery
    |November 1, 1984
    PubMed
    Summary

    Mandibular subluxation significantly enhances surgical exposure of the internal carotid artery. This refined technique is faster and safer, improving access for treating complex carotid artery lesions.

    Related Concept Videos

    You might also read

    Related Articles

    Articles linked to this work by shared authors, journal, and citation graph.

    Sort by
    Same author

    Spatial and contextual factors in beginning reading: Evidence for PSG-CSG complements to developing automaticity?

    Memory & cognition·2013
    Same author

    Eye movements while reading and searching spatially transformed text: A developmental examination.

    Memory & cognition·2011
    Same author

    Reading and visual search.

    Memory & cognition·2011
    Same author

    The effect of denture stability on bite force and muscular effort.

    Journal of oral rehabilitation·2010
    Same author

    Does long-term use of unstable dentures weaken jaw muscles?

    Journal of oral rehabilitation·2010
    Same author

    The clinical course of new-onset atrial fibrillation after elective aortic operations.

    Journal of the American College of Surgeons·2001

    Area of Science:

    • Neurosurgery
    • Vascular Surgery
    • Otolaryngology

    Background:

    • Surgical access to internal carotid artery lesions above the second cervical vertebra can be challenging.
    • Traditional methods for mandibular positioning are time-consuming and may have limitations.

    Purpose of the Study:

    • To evaluate the efficacy of mandibular subluxation for improved surgical exposure of the internal carotid artery.
    • To assess the safety and efficiency of a modified wiring technique for mandibular subluxation.

    Main Methods:

    • Twenty-four patients with internal carotid artery lesions underwent mandibular subluxation.
    • A novel circummandibular/transnasal wiring technique replaced the previous bilateral arch bar wiring.
    • Mandibular condyle subluxation was performed to achieve anterior displacement of the mandibular ramus.

    Related Experiment Videos

    Main Results:

    • The modified wiring technique reduced application time from 90 minutes to approximately 10 minutes.
    • Mandibular subluxation provided increased exposure of the internal carotid artery up to the skull base.
    • The technique transformed the surgical field from triangular to rectangular, enhancing visualization.

    Conclusions:

    • Mandibular subluxation is an effective technique for increasing surgical exposure of the internal carotid artery.
    • The modified wiring technique is rapid, simple, and does not cause temporomandibular joint dysfunction.
    • This approach offers a significant advantage for managing complex internal carotid artery pathologies.