PURPOSE: The results of endoscopic-assisted transoral approach for open reduction and miniplate fixation of condylar mandible fractures were evaluated 18 months after surgery. PATIENTS AND METHODS: The transoral endoscopic-assisted treatment of condylar fractures was performed in 8 consecutive patients from April 1998 to December 1999 at the University Hospital Freiburg. Four of 8 condylar fractures were dislocated, and 6 of the 8 patients had additional mandibular fractures. RESULTS: Anatomic reduction was achieved in all patients without facial nerve damage. There were no signs of bony resorption and good temporomandibular joint function 18 months after surgery. In 4 patients, the transoral management of condylar fractures was facilitated by angulated drills and screw drivers. Transbuccal stab incisions were not needed in these 4 patients. In all 8 patients, visible scars were avoided. CONCLUSIONS: The endoscopic-assisted transoral approach proved to be a reliable surgical method for condylar fractures when dislocation with lateral override was present. Copyright 2003 American Association of Oral and Maxillofacial Surgeons
PURPOSE: The results of endoscopic-assisted transoral approach for open reduction and miniplate fixation of condylar mandible fractures were evaluated 18 months after surgery. PATIENTS AND METHODS: The transoral endoscopic-assisted treatment of condylar fractures was performed in 8 consecutive patients from April 1998 to December 1999 at the University Hospital Freiburg. Four of 8 condylar fractures were dislocated, and 6 of the 8 patients had additional mandibular fractures. RESULTS: Anatomic reduction was achieved in all patients without facial nerve damage. There were no signs of bony resorption and good temporomandibular joint function 18 months after surgery. In 4 patients, the transoral management of condylar fractures was facilitated by angulated drills and screw drivers. Transbuccal stab incisions were not needed in these 4 patients. In all 8 patients, visible scars were avoided. CONCLUSIONS: The endoscopic-assisted transoral approach proved to be a reliable surgical method for condylar fractures when dislocation with lateral override was present. Copyright 2003 American Association of Oral and Maxillofacial Surgeons
Authors: Yasser Abdallah Aboelatta; Amir S Elbarbary; Sarah Abdelazeem; Karim S Massoud; Ikram I Safe Journal: Craniomaxillofac Trauma Reconstr Date: 2015-03-30