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Semin Plast Surg 2002; 16(3): 251-260
DOI: 10.1055/s-2002-34432
Copyright © 2002 by Thieme Medical Publishers, Inc., 333 Seventh Avenue, New York, NY 10001, USA. Tel.: +1(212) 584-4662

Operative Controversies: Thoughts on an Intraoral Endoscopic Assisted Method of Condylar Fracture Repair

Mark Martin, Chen Lee
  • Division of Plastic Surgery, Department of Surgery, McGill University Health Center, McGill University, Montreal, Canada
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Publication History

Publication Date:
01 October 2002 (online)

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ABSTRACT

Fractures of the mandibular condyle are common injuries. Operative management remains controversial. Closed treatment rarely results in anatomic realignment of the displaced bone fragments. Open surgical repair can yield anatomic restoration of the mandible. Studies have shown many benefits to anatomic surgical repair; however, transcutaneous incisional surgical access to the condyle is associated with facial scarring and a significant risk of facial nerve injury. Recently, an intraoral endoscopic assisted method of reduction and internal fixation of mandibular condylar fractures has been described. This method can be applied to anatomically repair most displaced fractures of the adult condylar process with minimization of the risks and disadvantages customarily associated with traditional transcutaneous incisional techniques of surgical repair. Our diagnostic workup to define the anatomic displacement and feasibility of endoscopic assisted condylar repair is presented. An expanded role for open anatomic repair of condylar fractures using this method is proposed.

KEYWORDS

Condylar fracture - endoscopic plastic surgery - trauma

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