Archives of Plastic Surgery

Korean Society of Plastic and Reconstructive Surgeons (대한성형외과학회)
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Clinical Applications of Endoscopic-Assisted Open Reduction and Internal Fixation of Subcondylar Fractures

아래턱뼈 관절돌기밑 골절에서 내시경을 이용한 관혈적 정복술 및 내부고정술의 임상적 적용

  • 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)
  • 한승열 (고신대학교 의과대학 성형외과학교실) ;
  • 강석주 (고신대학교 의과대학 성형외과학교실) ;
  • 박진형 (고신대학교 의과대학 성형외과학교실)
  • Published : 2009.11.15
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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

References

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