Gijs W. Jaspers, MD, DMD, Max J. Witjes, MD, DDS, PhD, Jan J

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Mandibular subluxation for distal internal carotid artery exposure in edentulous patients Gijs W. Jaspers, MD, DMD, Max J. Witjes, MD, DDS, PhD, Jan J. van den Dungen, MD, PhD, Harry Reintsema, DMD, PhD, Clark J. Zeebregts, MD, PhD Journal of Vascular Surgery Volume 50, Issue 6, Pages 1519-1522 (December 2009) DOI: 10.1016/j.jvs.2009.07.068 Copyright © 2009 Society for Vascular Surgery Terms and Conditions

Fig 1 (A) Both monocortical screws placed in left lower and upper quadrant of the mouth at the height of the previous premolar, and mandibular subluxation (MS) stabilized with 0.5-mm steel wire. Note clear abraded lower dentition and absent upper dentition. (B) Line drawing: (1) 2-mm monocortical miniscrew, (2) 0.5-mm steel wire, (3) abraded lower dentition, (4) mental foramen and exiting inferior alveolar nerve, (5) maxilla, and (6) mandible. Journal of Vascular Surgery 2009 50, 1519-1522DOI: (10.1016/j.jvs.2009.07.068) Copyright © 2009 Society for Vascular Surgery Terms and Conditions

Fig 2 (A) Provisional upper and lower prosthesis for stabilizing mandibular subluxation (MS) with 0.5-mm steel wire. Lower prosthesis is implant-based (shown medially in figure), upper prosthesis is held in place by two monocortical screws on the position of the previous cuspids. (B) Line drawing: (1) pre-existing interforaminal implants, (2) implant-retained mandibular prosthesis, (3) screw fixated maxillary prosthesis, (4) 2-mm monocortical miniscrew, (5) surgical hook for steel wire fixation, and (6) metal ball for obtaining adequate luxation. Journal of Vascular Surgery 2009 50, 1519-1522DOI: (10.1016/j.jvs.2009.07.068) Copyright © 2009 Society for Vascular Surgery Terms and Conditions