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  1. Home
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Browsing by Author "Tapia, Sebastián"

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    Simulating A Subcondylar Mandibular Fracture With Intraoral Open Reduction and Internal Fixation: A Novel Education Tool for Residents
    (Sage Publications INC, 2022) Rojas, Francisco; Tapia, Sebastián; Campolo González, Andrés Francisco; Vargas Díaz, Alex Patricio; Ramírez Skinner, Hernan Eduardo; Benítez, Benito K.; Teuber Lobos, Cristian Andrés
    Study Design Face and content validation of a surgical simulation model. Objective Open reduction and internal fixation in displaced subcondylar mandibular fractures is standard care. This requires an extraoral (eg: retromandibular, transparotideal) or intraoral approach. An intraoral approach requires further training since specialized instrumentation such as the 90° screwdriver system and endoscopes might be needed. Currently, no simulation models are available for training residents in intraoral reduction and fixation of subcondylar mandibular fractures. Therefore, we present a validated simulation model for intraoral treatment of subcondylar mandibular fractures. Methods Based on a computer tomography data set, we designed and printed a 3D model of a mandible with a unilateral subcondylar fracture. To simulate intraoral work depth, it was positioned inside a dental phantom. We tested the model by a group of experts (n = 8), simulating intraoral reduction and fixation of a unilateral subcondylar fracture, using a 90° screwdriver system, a 1.0 subcondylar plate (lambda), and 5-6 mm screws. We assessed Face and Content validity by survey. Results We provided an open-source printable fracture model. Printing costs were approximately US $10. Experts “Agreed” the model resembling the real scenario and its use for training intraoral reduction and fixation of subcondylar mandibular fractures.

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