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Endoscopic application in aesthetic and reconstructive facial bone surgery

D H Park1, J W Lee, C H Song

  • 1Department of Plastic and Reconstructive Surgery, College of Medicine, at Catholic University of Taegu Hyosung, Korea.

Plastic and Reconstructive Surgery
|September 12, 1998
PubMed
Summary

Endoscopically assisted facial bone surgery offers improved visualization and direct manipulation for aesthetic contouring and fracture repair. This minimally invasive technique reduces complications and scarring compared to traditional open approaches.

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Area of Science:

  • Plastic Surgery
  • Minimally Invasive Surgery
  • Facial Reconstruction

Background:

  • Facial bone surgery traditionally involves extensive incisions, leading to potential complications and visible scarring.
  • Endoscopic techniques offer a minimally invasive alternative for improved surgical outcomes.

Observation:

  • Twenty-three cases of endoscopically assisted facial bone surgery were reviewed over three years.
  • Procedures included aesthetic contouring (frontal bone, zygoma, mandible) and fracture repair (zygomatic, blowout, nasal).

Findings:

  • Endoscopic assistance provided adequate visualization and direct manipulation of facial bones through small incisions.
  • Procedures like rhinoplasty, zygoma recontouring, and mandible contouring were successfully performed.
  • The extra operative time for endoscopic procedures was less than one hour.

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Implications:

  • Endoscopic facial bone surgery minimizes complications associated with large incisions, such as those in bicoronal approaches.
  • Improved visualization aids in operating on the orbit, nose, maxillae, and mandible.
  • This technique is ideal for aesthetic facial skeleton surgery, resulting in smaller scars and reduced morbidity.