Schopper Heather K, Dunn Brandyn, Davila Richard, Sykes Kevin J, Flynn John P, Kriet J David, Humphrey Clinton D
Department of Otolaryngology - Head and Neck Surgery, University of Kansas Medical Center, Kansas City, KS, USA.
Skin Cancer and Reconstructive Surgery Center, Newport Beach, CA, USA.
Craniomaxillofac Trauma Reconstr. 2024 Sep;17(3):225-231. doi: 10.1177/19433875231194242. Epub 2023 Aug 4.
Survey.
Subcondylar fractures stand out as a particular challenge when treating maxillofacial trauma. The fracture site is often difficult to access and adjacent to critical structures like the facial nerve. Current treatment paradigms vary widely and we endeavored to elucidate these approaches from surgeons across the full breadth of Craniomaxillofacial Surgery.
A survey was designed to gather general background training and experience information, perceived indications for ORIF of subcondylar fractures, options for treating subcondylar fractures, and reasoning for choosing or not choosing a given treatment approach. The survey was sent to members of AO CMF and the American Academy of Facial Plastic Surgery. Responses were collected for 4 weeks.
514 total responses to the survey were obtained (response rate 17%). Of these, 43 (8.4%) identified as Otolaryngology trained, 417 (81.1%) as OMFS trained, and 54 (10.5%) as Plastic Surgery trained. While there was broad agreement in the indications for open repair, surgical approaches differed by specialty background as well as AO faculty member status. Those with less experience were less likely to perform open approaches due to lack of comfort with this skill set.
There are some key differences in approaches to treatment of subcondylar fractures based upon specialty background and experience level. This provides an opportunity for further education to ensure optimal treatment for patients.
调查。
髁突下骨折在治疗颌面创伤时是一项特殊挑战。骨折部位通常难以触及，且靠近面神经等关键结构。当前的治疗模式差异很大，我们试图从颅颌面外科各个领域的外科医生那里阐明这些方法。
设计了一项调查，以收集一般背景培训和经验信息、髁突下骨折切开复位内固定术的公认适应症、髁突下骨折的治疗选择，以及选择或不选择特定治疗方法的理由。该调查发送给了AO颅颌面外科成员和美国面部整形外科学会成员。为期4周收集回复。
共获得514份调查回复（回复率17%）。其中，43人（8.4%）为接受过耳鼻喉科培训，417人（81.1%）为接受过口腔颌面外科培训，54人（10.5%）为接受过整形外科培训。虽然在开放修复的适应症方面存在广泛共识，但手术方法因专业背景以及AO教员身份而异。经验较少的人由于对该技能不熟练，不太可能采用开放手术方法。
基于专业背景和经验水平，髁突下骨折的治疗方法存在一些关键差异。这为进一步教育提供了机会，以确保为患者提供最佳治疗。
