Extended Submandibular Approaches To The Inferior Border Of The Mandible

The Scar Solution Natural Scar Removal

The Scar Solution Book By Sean Lowry

Get Instant Access

Should more exposure of the mandible become necessary, the surgeon has several choices. For increased ipsilateral exposure, the submandibular incision can be extended posteriorly toward the mastoid region, and anteriorly in an arcing manner toward the submental region (Fig. 9-12). Once the incision leaves the direction of the resting skin tension lines, however, the resultant scar will be more obvious.

To eliminate some of the undesirable scarring that may accompany the change in direction of the incision toward the submental area, one can step the anterior portion of the incision (Fig. 913) (3).

Surgical splitting of the lower lip is another maneuver occasionally used in combination with incisions in the submandibular area to increase exposure to one side of the mandible. It is possible to divide the lower lip in several ways. Each method uses the principle of breaking up the incision line to minimize scar contracture during healing (Figs. 9-14 and 9-15).

For complete bilateral exposure of the mandible, one can use an "apron" flap with or without lip splitting. Bilateral submandibular incisions are extended into the neck and then are connected. The incision may course somewhat toward the submental region or be kept low in the neck, depending on the surgical requirements (Fig. 9-16).

Figure 9- 12 Extension of the submandibular incision posteriorly toward the mastoid region and anteriorly toward the submental region. Note that the incision leaves the resting skin tension lines anteriorly.

Figure 9- 12 Extension of the submandibular incision posteriorly toward the mastoid region and anteriorly toward the submental region. Note that the incision leaves the resting skin tension lines anteriorly.

Figure 9- 14 Extension of the submandibular incision posteriorly toward the mastoid region and anteriorly toward the submental region in a "stepped" manner. The longer arms of the step should be kept close or parallel to the resting skin tension lines.

Figure 9- 13 One technique of splitting the lower lip in the midline. This incision can be connected to submandibular incisions on either side.

Figure 9- 14 Extension of the submandibular incision posteriorly toward the mastoid region and anteriorly toward the submental region in a "stepped" manner. The longer arms of the step should be kept close or parallel to the resting skin tension lines.

Figure 9- 13 One technique of splitting the lower lip in the midline. This incision can be connected to submandibular incisions on either side.

Rapper Coloring Pages Printable
Figure 9- 15 A technique of splitting the lip following the mentolabial crease. This technique is used in conjunction with a contralateral submandibular incision to increase exposure of that side of the mandible.

1 Öffigrnan KO. G^töb WC: íffirgícal anatomy ^E the iriundihulnr mnius ni itic fut in! nerve baM<l on \\w Jiwwli&n .h 100 fk'iül mites. PIjsi gttonsir Sure l%2,

2. Ziaruh HA, Allein son Mlv The sui^tot üTintontj öFthe ei'fir icafc disBMsfinfi flfthe fotrinl nervû.

3 Xidtf M. l;.i>kLT UN An iilLcnmii: cleciivir raxk iiiL-isiün J Oro! Muxillofac ?iirg ÍM07I, I TO.

Was this article helpful?

0 0
How To Reduce Acne Scarring

How To Reduce Acne Scarring

Acne is a name that is famous in its own right, but for all of the wrong reasons. Most teenagers know, and dread, the very word, as it so prevalently wrecks havoc on their faces throughout their adolescent years.

Get My Free Ebook


Post a comment