内镜辅助治疗联合经口和经颊入路治疗下颌骨髁突骨折

Endoscopic-Assisted Treatment Combined With Transoral and Transbuccal Approach to Mandibular Subcondylar Fractures.

作者信息

Akdag Osman, Yildiran Gokce, Abaci Malik, Tosun Zekeriya

机构信息

Assistant Professor, Department of Plastic Surgery, Medical Faculty, Selcuk University, Konya, Turkey.

Postdoctoral Fellow, Department of Plastic Surgery, Medical Faculty, Selcuk University, Konya, Turkey.

出版信息

J Oral Maxillofac Surg. 2018 Apr;76(4):831.e1-831.e5. doi: 10.1016/j.joms.2017.11.034. Epub 2017 Dec 5.

DOI:10.1016/j.joms.2017.11.034

PMID:29274311

Abstract

PURPOSE

Endoscopic treatment of maxillofacial fractures is a different way of performing open reduction and internal fixation. This report presents a case series of mandibular subcondylar fractures performed with combined endoscopic transoral and transbuccal approaches and the results.

MATERIALS AND METHODS

Sixteen patients with mandibular condylar fractures were preoperatively assessed for risk and underwent open reduction and internal fixation with the endoscope-assisted transoral approach. Duration of hospital stay was recorded and patients were followed for an average of 17 months for possible complications.

RESULTS

No major complications were encountered in any patient. Minimal angulation was observed in 3 patients. One patient had late complaints of temporomandibular joint pain.

CONCLUSION

Endoscopic-assisted mandibular condylar fracture repair includes special surgical equipment and manipulation not used in classic methods. With this approach, subcondylar fractures can be more readily manipulated through a transbuccal puncture with appropriate fixation achieved.

摘要