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Endoscope-assisted facial fracture repair
1Department of Plastic and Reconstructive Surgery, Tokyo Metropolitan Hiro-o General Hospital, 2-24-10 Ebisu, Shibuya-ky, Tokyo, Japan 150-0013. h320418@tkb.att.ne.jp
Abstract:
We describe the use of an endoscope-assisted technique for nasal osteotomy and mandibular fracture repair. The endoscopic visual enhancement has been especially helpful in making osteotomy safe and accurate as compared to the drawbacks associated with conventional blind osteotomy. The technique of endoscopically assisted fracture repair of the mandible facilitates anatomic restoration and fixation of the displaced condyle with limited-access incision. Under optical endoscopic magnification, the disadvantages associated with open surgical repair including the risk of facial nerve injury and external facial scarring are minimized. No postoperative complications have been attributable to the endoscopic approach.