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Clinical Applications of Endoscopic-Assisted Open Reduction and Internal Fixation of Subcondylar Fractures  

Han, Seung Youl (Department of Plastic and Reconstructive Surgery, College of Medicine, Kosin university)
Kang, Seok Joo (Department of Plastic and Reconstructive Surgery, College of Medicine, Kosin university)
Park, Jin Hyung (Department of Plastic and Reconstructive Surgery, College of Medicine, Kosin university)
Publication Information
Archives of Plastic Surgery / v.36, no.6, 2009 , pp. 735-742 More about this Journal
Abstract
Purpose: The management of fractures of mandibular subcondyle continues to be controversial between open and closed treatment. The purpose of this article is to explain the endoscopic assisted open reduction and internal fixation and minimize the controversy. Methods: Nine patients of mandibular subcondylar fracture were reduced and fixed by using intraoral endoscopic - assisted open reduction and internal fixation and were followed up for 14 ~ 24 months after surgery. Results: Eight patients of mandibular subcondylar fracture had been treated without significant complications. One patient, whose malocclusion had been remained, was recovered normal occlusion by maxillomandibular fixation using intermaxillary screws for 3 weeks. Conclusion: The advantages of endoscopic - assisted open reduction and internal fixation are direct visualization, accurate fracture repair, minimized scar, decreased morbidity. And maxillomandibular fixation is not needed when it is done by accurate reduction and rigid fixation with one miniplate in the region of subcondylar fracture. With the above consideration, endoscopic - assisted open reduction and internal fixation can be considered as one of the best treament for subcondylar fracture of the mandible.
Keywords
Mandibular subcondylar fracture; Endoscopic assisted open reduction;
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