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Endoscopically assisted mandibular subcondylar fracture repair
1Craniofacial Center, Department of Plastic and Reconstructive Surgery, Chang Gung Memorial Hospital, Taipei, Taiwan, Republic of China.
Plastic and Reconstructive Surgery
|January 23, 1999
Summary
Endoscopic surgery successfully repaired mandibular subcondylar fractures in eight patients, offering better visualization and avoiding facial scars. This minimally invasive technique promotes rapid functional recovery with no nerve damage.
Area of Science:
- Oral and Maxillofacial Surgery
- Minimally Invasive Surgical Techniques
- Trauma Reconstruction
Background:
- Endoscopic approaches are increasingly utilized in aesthetic surgery but are infrequently applied to facial trauma cases.
- This study investigates the efficacy of endoscopic assistance in repairing mandibular subcondylar fractures.
Observation:
- Eight patients with mandibular subcondylar fractures underwent endoscopic-assisted repair between July and December 1996.
- A 4.0-mm, 30-degree endoscope facilitated visualization via an intraoral incision.
- Fracture stabilization was achieved using a miniplate and percutaneous trocar, with short-term intermaxillary fixation.
Findings:
- All patients achieved normal range of motion within 8 weeks post-surgery.
- Minor temporary deviations in maximal opening resolved within 3 months.
- No instances of facial palsy or lip numbness were reported.
Implications:
- Endoscopic-assisted repair offers superior visualization and precise anatomic alignment for mandibular fractures.
- This technique minimizes facial scarring and reduces the risk of facial nerve injury.
- It presents a viable, less invasive alternative for treating complex facial trauma.