The synergy between endoscopic assistance and extraoral approach in subcondylar fracture repair: a report of 13 cases

Autor: Tekin Simsek, Caglayan Yagmur, İbrahim Alper Aksakal, Lütfi Eroğlu, Musa Kemal Keles, Ozan Aslan
Přispěvatelé: OMÜ
Rok vydání: 2013
Předmět:
Zdroj: Ulusal travma ve acil cerrahi dergisi = Turkish journal of traumaemergency surgery : TJTES. 19(5)
ISSN: 1306-696X
Popis: Keles, Musa K/0000-0003-1915-079X WOS: 000326421800009 PubMed: 24214785 BACKGROUND: We aimed to present the primary experience of one surgeon with a new surgical technique performed on the first 13 cases and to evaluate outcomes following an extraoral endoscopic approach to subcondylar fractures. METHODS: Fifteen subcondylar fractures in 13 patients, who were treated at Ondokuz Mayis University Hospital between January 2010 and June 2011, were included in this study. Patients were operated on using either endoscopic or open approach. RESULTS: Rigid plate fixation was completed endoscopically using extraoral approach in nine fractures, while six fractures were plated by conversion to a full-open approach. In all six fractures that could not be fixed endoscopically, the proximal fragments were medially displaced, whereas seven of nine fractures that were successfully fixed endoscopically were laterally displaced. CONCLUSION: An extraoral endoscopic approach for subcondylar fractures is feasible and can be carried out with decreased morbidity. This approach is recommended for those with limited experience in endoscopy to treat low laterally displaced subcondylar fractures as their initial cases.
Databáze: OpenAIRE