Transoral endoscopic-assisted VS external approach for performing ORIF in mandibular condyle fractures: A case-series study

IF 0.4 Q4 DENTISTRY, ORAL SURGERY & MEDICINE Journal of Oral and Maxillofacial Surgery Medicine and Pathology Pub Date : 2024-04-10 DOI:10.1016/j.ajoms.2024.04.008
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Abstract

Objective

The treatment of condylar fractures can have significant morbidity. The purpose of this study is to suggest the safest approach by comparing endoscope-assisted and open surgery.

Methods

A case-series study was conducted in the Maxillo-Facial Surgery Unit of the Federico II University of Naples from January 2016 to January 2022 on 34 patients who underwent surgery for condylar fracture. Thirty patients met the inclusion criteria. They were divided into two groups according to the surgical technique used: Group A, made up of 15 patients treated by endoscope-assisted surgery; Group B made up of 15 patients treated by traditional non-endoscope-assisted surgery.

Results

The most common complication was transient facial nerve palsy, observed in group B in 4 patients (26%) and in only 2 patients in Group A (13%). Permanent facial nerve palsy occurred in 2 patients (13%) in Group B. No permanent facial nerve palsy was observed in Group A. No plates infection occurred in Group A, 1 case (7%) was recorded in Group B.

Conclusions

From our experience we can consider endoscope-assisted surgery a favorable option for treating condyle fractures. Patients’ selection for transoral endoscope-assisted surgery is extremely important to ensure the best surgical results with the less complications score.

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经口内窥镜辅助 VS 外入路对下颌骨髁突骨折进行 ORIF:一项病例系列研究
目的治疗髁突骨折可能会导致严重的发病率。方法 2016 年 1 月至 2022 年 1 月,那不勒斯费德里科二世大学颌面外科对 34 名接受髁突骨折手术的患者进行了病例系列研究。30名患者符合纳入标准。根据使用的手术技术,他们被分为两组:结果最常见的并发症是一过性面神经麻痹,B组有4例(26%),A组只有2例(13%)。B 组有 2 名患者(13%)出现永久性面神经麻痹,而 A 组未观察到永久性面神经麻痹。A 组未发生钢板感染,B 组有 1 例(7%)。选择患者进行经口内窥镜辅助手术对确保最佳手术效果和减少并发症极为重要。
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来源期刊
CiteScore
0.80
自引率
0.00%
发文量
129
审稿时长
83 days
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