Mandibular subluxation stabilized by mouthpiece for distal internal carotid artery exposure in carotid endarterectomy

Journal of Vascular Surgery
Masanori YoshinoTakayuki Hara

Abstract

The standard approach for carotid endarterectomy cannot provide adequate exposure of the distal internal carotid artery in the presence of high cervical carotid bifurcation or high plaque. Limited accessibility of the distal internal carotid artery has resulted in the development of various operative techniques. Mandibular subluxation is the most simple and least invasive technique, but it does require invasive maneuvers, such as wiring, to stabilize the mandible. We use a mouthpiece made by the dentist to stabilize the mandible in the physiologic subluxated position. This technique provides an adequate exposure of the distal internal carotid artery as with the other methods, and the risk of morbidity is very low.

References

Sep 5, 1992·British Dental Journal·G S McKayS W Cadden
Jun 1, 1995·American Journal of Orthodontics and Dentofacial Orthopedics : Official Publication of the American Association of Orthodontists, Its Constituent Societies, and the American Board of Orthodontics·S J LindauerM Davidovitch
Dec 1, 1994·Journal of Oral and Maxillofacial Surgery : Official Journal of the American Association of Oral and Maxillofacial Surgeons·T MutoJ Kawakami
Feb 4, 1998·Journal of the American College of Surgeons·D P CollM D Kerstein
Dec 10, 1999·Journal of Vascular Surgery·G T SimonianR W Hobson
May 3, 2007·The Laryngoscope·Felipe S G FortesLuiz Ubirajara Sennes

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Citations

Dec 3, 2014·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·J R McNamaraB J Manning
Apr 6, 2016·Anatomy Research International·Adamantios MichalinosTheodore Troupis
Aug 18, 2020·Neurologia Medico-chirurgica·Masaaki UnoShunji Matsubara

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