Aziz Shahid R, Ziccardi Vincent B
Department of Oral and Maxillofacial Surgery, University of Medicine and Dentistry of New Jersey, New Jersey Dental School, 110 Bergen Street, Newark, NJ 07103, USA.
Atlas Oral Maxillofac Surg Clin North Am. 2009 Mar;17(1):71-4. doi: 10.1016/j.cxom.2008.10.003.
Endoscopic-assisted open reduction/internal fixation of mandibular condylar fractures is a viable alternative to traditional closed or open reduction techniques. However, case selection is important. Ideally, the fracture undergoing EAORIF should be easily manipulated into reduction and have enough stable bone on either side of the fracture to support a bone plate. It is important to note that in all reprinted studies, authors note a steep "learning curve" with the EAORIF technique. Identical procedures took the novice surgeon two to three times as long when compared with an experienced surgeon. EAORIF is a technique that should be included in the armamentarium of the maxillofacial trauma surgeon when treating mandibular condylar fractures.
内镜辅助下颌髁突骨折切开复位内固定术是传统闭合或切开复位技术的一种可行替代方法。然而,病例选择很重要。理想情况下,接受内镜辅助切开复位内固定术的骨折应易于手法复位,且骨折两侧有足够稳定的骨质以支撑接骨板。需要注意的是,在所有转载的研究中,作者都指出内镜辅助切开复位内固定术技术存在陡峭的“学习曲线”。与经验丰富的外科医生相比,新手外科医生完成相同手术的时间要长两到三倍。在内科治疗下颌髁突骨折时,内镜辅助切开复位内固定术应成为颌面创伤外科医生的技术储备之一。