Authors of section

Author

Boaz Arzi

Executive Editor

Amy Kapatkin

General Editor

Frank Verstraete

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Ventral approach to the rostral mandible

1. Skin incision

With the patient in dorsal recumbency, the head is supported with a soft pad and the neck extended. The mandible is palpated, and the incision is planned just medial to the mandibular body. A skin incision is performed with a scalpel blade along the ventral margins of the rostral mandible midline.

The use of electrocautery should be avoided.

Ventral approach to rostral mandible skin incision|alt

The approach should not be directly over the traumatic wound to avoid unnecessary trauma to the injured area. 

Ventral approach to rostral mandible skin incision|alt

The exposure should be of sufficient size, so that the surgeon can inspect the wound and reduce the fracture without additional trauma to soft tissue.

Ventral approach to rostral mandible skin incision|alt

2. Exposure

It is important to avoid damaging the mucogingival junction during soft tissues manipulation to prevent perforation into the oral cavity.

Ventral approach to rostral mandible mucogingival junction protection|alt

3. Closure

Closure is done in two layers.

Closure of the first layer is done with absorbable sutures such as 4.0 polyglactin 910 poliglecaprone 25. The skin is closed with monofilament nonabsorbable sutures in a simple-interrupted fashion.

Ventral approach to rostral mandible closure|alt