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Related Experiment Video

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Less-Invasive Technique for Non-stabilized Mandibular Fracture in Mouse Models
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Minimizing the Submandibular Incision in Endoscopic Subcondylar Fracture Repair.

Yasser Abdallah Aboelatta1, Amir S Elbarbary1, Sarah Abdelazeem1

  • 1Department of Plastic & Reconstructive Surgery, Ain-Shams University, Cairo, Egypt.

Craniomaxillofacial Trauma & Reconstruction
|November 18, 2015
PubMed
Summary
This summary is machine-generated.

This study introduces a refined endoscopic technique for treating mandibular condylar fractures, minimizing submandibular incision size. The method ensures safe facial nerve preservation and achieves satisfactory cosmetic outcomes with reduced scarring.

Keywords:
endoscopyfacial fracturefracture mandiblemalocclusionsubcondylar fracture

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Area of Science:

  • Oral and Maxillofacial Surgery
  • Minimally Invasive Surgical Techniques
  • Endoscopic Procedures

Background:

  • Mandibular condylar fractures present complex treatment challenges.
  • Endoscope-assisted open reduction and internal fixation (ORIF) is an evolving surgical approach.
  • Conventional techniques may involve larger incisions and potential complications.

Purpose of the Study:

  • To present a modified endoscope-assisted technique for mandibular condylar fractures.
  • To minimize the length of the submandibular incision.
  • To evaluate the safety and efficacy of this refined approach.

Main Methods:

  • Ten patients with displaced subcondylar fractures and malocclusion underwent the procedure.
  • A combined intraoral and limited (<1 cm) submandibular incision was utilized.
  • Endoscopic guidance was employed for dissection and fracture reduction.

Main Results:

  • Eight of ten patients required a limited submandibular incision for optimal reduction.
  • All patients achieved satisfactory small scars without wound complications.
  • No instances of facial nerve injury were reported.

Conclusions:

  • The described technique allows for safe and effective endoscope-assisted ORIF of mandibular condylar fractures.
  • Dissection prior to incision significantly minimizes scarring and protects the facial nerve.
  • This approach facilitates fracture reduction and provides clear visualization, even in challenging cases.