Everyday Oral Surgery Surgical Approaches: Submandibular and Retromandibular (with Dr. Andrew Jenzer)
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Oct 1, 2024 Dr. Andrew Jenzer, an oral and maxillofacial surgeon and educator from North Carolina, shares his insights on innovative surgical approaches. He discusses when to use the submandibular approach and stresses the importance of nerve testing. Listeners learn about key instruments and techniques, such as local anesthetics versus pure epinephrine, incision planning, and recognizing the node of Stahr. Jenzer also elaborates on the retromandibular approach, exploring different incision variations and managing complex nerve structures during surgery.
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Learn With Books, Cadavers, And Real Cases
- Use the AO resources, Atlas of Oral Maxillofacial Surgery, cadaver labs, and progressive clinical practice to learn approaches.
- Combine textbook study with hands-on dissections and supervised surgeries to build competence.
Facial Nerve Is The Central Concern
- Both submandibular and retromandibular approaches require working around the facial nerve, so nerve testing and planning are central.
- Anticipate nerve-related risks and prepare specific equipment and documentation before incision.
Ensure No Long-Acting Paralysis
- Request depolarizing paralysis (succinylcholine) or no neuromuscular blockade so you can test facial nerve function intraoperatively.
- Confirm this with anesthesia multiple times before incision and check for twitch return if needed.
