Five-year experience with the transoral endoscopically assisted treatment of displaced condylar mandible fractures.

摘要: Background From April of 1998 to May 2003, the minimally invasive transoral approach for endoscopically assisted reduction and osteosynthesis 62 displaced condylar mandible fractures was performed in 58 patients. Methods By means limited incision, fixation using 30- 45-degree angled endoscopes. Twenty-five were 37 subcondylar. The neck proximal fragment medially 17 laterally 45 fractures. Four patients presented bilateral Using endoscopes, good visibility fracture site obtained, which allowed precise anatomical all An angulated drill screwdriver facilitated miniplate by approach. mean operating time measured last 30 consecutive cases: 1 hour 5 minutes. Results Postoperatively, showed quick recovery preinjury occlusion. Normal temporomandibular joint function noted 6 months after surgery Conclusions treatment an is method choice surgical management fractures, even with medial override. Facial nerve injury visible scars are avoided