Alternative Approaches To The Mandibular Ramus

Added exposure of the mandibular ramus is frequently required. Combinations of approaches such as the preauricular and the retromandibular offer increased exposure for some procedures, such as those for temporomandibular ankylosis. If even greater exposure is required, one can connect these two approaches using a modified Blair incision (Fig. 10-13). This incision is used frequently for operations involving the parotid, but it can be useful for those involving the mandibular ramus.

Figure 1 5 10-13 Modified Blair incision. The preauricular and retromandibular approaches are connected by an incision hidden in the lobular crease of the ear. The anteroposterior position of the retromandibular portion of the approach may be customized. In this illustration , the incision parallels the stenocleidomastiod muscle and is more posterior than the retromandibular approach described previously.

Figure 1 5 10-13 Modified Blair incision. The preauricular and retromandibular approaches are connected by an incision hidden in the lobular crease of the ear. The anteroposterior position of the retromandibular portion of the approach may be customized. In this illustration , the incision parallels the stenocleidomastiod muscle and is more posterior than the retromandibular approach described previously.

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