Endoscopic Assistance for Surgical Repositioning of Condylar Fractures

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  • FUJITA Hitomi
    Department of Oral and Maxillofacial Surgery, Showa University School of Dentistry
  • Hatori Masashi
    Department of Oral and Maxillofacial Surgery, Showa University School of Dentistry
  • YOSHIHAMA Yasuto
    Department of Oral and Maxillofacial Surgery, Showa University School of Dentistry
  • SHIROTA Tatsuo
    Department of Oral and Maxillofacial Surgery, Showa University School of Dentistry
  • SHINTANI Satoru
    Department of Oral and Maxillofacial Surgery, Showa University School of Dentistry

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Other Title
  • 硬性内視鏡を補助的に用いた口内法による関節突起骨折観血的整復術
  • 臨床報告 硬性内視鏡を補助的に用いた口内法による関節突起骨折観血的整復術
  • リンショウ ホウコク コウセイ ナイシキョウ オ ホジョテキ ニ モチイタ コウナイホウ ニ ヨル カンセツ トッキ コッセツカン ケツテキ セイフクジュツ

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Abstract

The indication for surgical reduction versus non-surgical treatment of mandibular condylar fractures remains controversial. Non-surgical treatment of displaced condylar mandible fractures may lead open-bite deformity or malocclusion caused by shortening of the mandibular ramal height. On the other hand, transbuccal open reduction and fixation of the condylar fractures may induce surgical complications, such as risk of facial nerve injury and creation of visible scars. To avoid these complications, we performed endoscope-assisted transoral open reduction and miniplate fixation to three patients with the condylar fractures. Even the transbuccal stab incisions and the use of trochars were not needed in this method. One year after the operation, limitation of mouth opening or malocclusions were not observed in all patients.

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