Follow-up of condylar fractures of the mandible in 8 patients at 18 months after transoral endoscopic-assisted open treatment
Purpose: The results of endoscopic-assisted transoral approach for open reduction and miniplate fixation of condylar mandible fractures were evaluated 18 months after surgery. Patients and Methods: The transoral endoscopic-assisted treatment of condylar fractures was performed in 8 consecutive patie...
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description | Purpose: The results of endoscopic-assisted transoral approach for open reduction and miniplate fixation of condylar mandible fractures were evaluated 18 months after surgery. Patients and Methods: The transoral endoscopic-assisted treatment of condylar fractures was performed in 8 consecutive patients from April 1998 to December 1999 at the University Hospital Freiburg. Four of 8 condylar fractures were dislocated, and 6 of the 8 patients had additional mandibular fractures. Results: Anatomic reduction was achieved in all patients without facial nerve damage. There were no signs of bony resorption and good temporomandibular joint function 18 months after surgery. In 4 patients, the transoral management of condylar fractures was facilitated by angulated drills and screw drivers. Transbuccal stab incisions were not needed in these 4 patients. In all 8 patients, visible scars were avoided. Conclusions: The endoscopic-assisted transoral approach proved to be a reliable surgical method for condylar fractures when dislocation with lateral override was present. © 2003 American Association of Oral and Maxillofacial Surgeons J Oral Maxillofac Surg 61:49-54, 2003 |
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Patients and Methods: The transoral endoscopic-assisted treatment of condylar fractures was performed in 8 consecutive patients from April 1998 to December 1999 at the University Hospital Freiburg. Four of 8 condylar fractures were dislocated, and 6 of the 8 patients had additional mandibular fractures. Results: Anatomic reduction was achieved in all patients without facial nerve damage. There were no signs of bony resorption and good temporomandibular joint function 18 months after surgery. In 4 patients, the transoral management of condylar fractures was facilitated by angulated drills and screw drivers. Transbuccal stab incisions were not needed in these 4 patients. In all 8 patients, visible scars were avoided. Conclusions: The endoscopic-assisted transoral approach proved to be a reliable surgical method for condylar fractures when dislocation with lateral override was present. © 2003 American Association of Oral and Maxillofacial Surgeons J Oral Maxillofac Surg 61:49-54, 2003</description><identifier>ISSN: 0278-2391</identifier><identifier>EISSN: 1531-5053</identifier><identifier>DOI: 10.1053/joms.2003.50009</identifier><identifier>PMID: 12524608</identifier><identifier>CODEN: JOMSDA</identifier><language>eng</language><publisher>New York, NY: Elsevier Inc</publisher><subject>Adult ; Biological and medical sciences ; Bone Plates ; Bone Resorption - classification ; Bone Screws ; Cicatrix - prevention & control ; Dental Occlusion ; Dentistry ; Endoscopy - methods ; Ent, stomatology, face, injuries. Foreign bodies. Diseases due to physical agents: otorhinolaryngology ; Equipment Design ; Follow-Up Studies ; Fracture Fixation, Internal - instrumentation ; Fracture Fixation, Internal - methods ; Head and neck surgery. Maxillofacial surgery. Dental surgery. Orthodontics ; Humans ; Joint Dislocations - surgery ; Mandibular Condyle - injuries ; Mandibular Condyle - physiopathology ; Mandibular Fractures - physiopathology ; Mandibular Fractures - surgery ; Maxillofacial surgery. Dental surgery. Orthodontics ; Medical sciences ; Middle Aged ; Miniaturization ; Range of Motion, Articular - physiology ; Reproducibility of Results ; Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases ; Temporomandibular Joint - physiopathology ; Traumas. 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Patients and Methods: The transoral endoscopic-assisted treatment of condylar fractures was performed in 8 consecutive patients from April 1998 to December 1999 at the University Hospital Freiburg. Four of 8 condylar fractures were dislocated, and 6 of the 8 patients had additional mandibular fractures. Results: Anatomic reduction was achieved in all patients without facial nerve damage. There were no signs of bony resorption and good temporomandibular joint function 18 months after surgery. In 4 patients, the transoral management of condylar fractures was facilitated by angulated drills and screw drivers. Transbuccal stab incisions were not needed in these 4 patients. In all 8 patients, visible scars were avoided. Conclusions: The endoscopic-assisted transoral approach proved to be a reliable surgical method for condylar fractures when dislocation with lateral override was present. © 2003 American Association of Oral and Maxillofacial Surgeons J Oral Maxillofac Surg 61:49-54, 2003</description><subject>Adult</subject><subject>Biological and medical sciences</subject><subject>Bone Plates</subject><subject>Bone Resorption - classification</subject><subject>Bone Screws</subject><subject>Cicatrix - prevention & control</subject><subject>Dental Occlusion</subject><subject>Dentistry</subject><subject>Endoscopy - methods</subject><subject>Ent, stomatology, face, injuries. Foreign bodies. Diseases due to physical agents: otorhinolaryngology</subject><subject>Equipment Design</subject><subject>Follow-Up Studies</subject><subject>Fracture Fixation, Internal - instrumentation</subject><subject>Fracture Fixation, Internal - methods</subject><subject>Head and neck surgery. Maxillofacial surgery. Dental surgery. Orthodontics</subject><subject>Humans</subject><subject>Joint Dislocations - surgery</subject><subject>Mandibular Condyle - injuries</subject><subject>Mandibular Condyle - physiopathology</subject><subject>Mandibular Fractures - physiopathology</subject><subject>Mandibular Fractures - surgery</subject><subject>Maxillofacial surgery. Dental surgery. Orthodontics</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Miniaturization</subject><subject>Range of Motion, Articular - physiology</subject><subject>Reproducibility of Results</subject><subject>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</subject><subject>Temporomandibular Joint - physiopathology</subject><subject>Traumas. Diseases due to physical agents</subject><subject>Treatment Outcome</subject><issn>0278-2391</issn><issn>1531-5053</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2003</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1kDtvFDEURi0EIpuEmg65gW429ng9jxJFBCJFSkNqy49rxdGMPfh6QCn473jYlVKlsvz5-NO9h5CPnO05k-LqKc24bxkTe8kYG9-QHZeCN7K-vSU71vZD04qRn5FzxCfGOJd9956c8Va2h44NO_L3Jk1T-tOsC02e2hTd86Qz9VnbsmbALS2PQGcdXTAT0BDpQBddAsSCVBfKBzqnWB7rxRfItGQdMWU9UYguoU1LsI1GDFjA0bRArAjoMteCS_LO6wnhw-m8IA83335e_2ju7r_fXn-9a2w7DKUZgem6nugNCG6c7IwZPefOy7aT3aFG3jEvmDMdN9wI3_Wy7YWWvRhZZ0ZxQb4ce5ecfq2ARc0BLUyTjpBWVH07dmzsN_DqCNqcEDN4teQw6_ysOFObcbUZV5tx9d94_fHpVL2aGdwLf1Jcgc8nQKPVUzUbbcAX7iB7LqWo3HjkoIr4HSArtFWyBRcy2KJcCq8O8Q9tGp5c</recordid><startdate>200301</startdate><enddate>200301</enddate><creator>Schön, Ralf</creator><creator>Schramm, Alexander</creator><creator>Gellrich, Nils-Claudius</creator><creator>Schmelzeisen, Rainer</creator><general>Elsevier Inc</general><general>Elsevier</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>8BM</scope></search><sort><creationdate>200301</creationdate><title>Follow-up of condylar fractures of the mandible in 8 patients at 18 months after transoral endoscopic-assisted open treatment</title><author>Schön, Ralf ; Schramm, Alexander ; Gellrich, Nils-Claudius ; Schmelzeisen, Rainer</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c288t-9e0a00037be31bd56bb9f11df5265641bdfd0f30db61b1b3f675273a573906b93</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2003</creationdate><topic>Adult</topic><topic>Biological and medical sciences</topic><topic>Bone Plates</topic><topic>Bone Resorption - classification</topic><topic>Bone Screws</topic><topic>Cicatrix - prevention & control</topic><topic>Dental Occlusion</topic><topic>Dentistry</topic><topic>Endoscopy - methods</topic><topic>Ent, stomatology, face, injuries. Foreign bodies. Diseases due to physical agents: otorhinolaryngology</topic><topic>Equipment Design</topic><topic>Follow-Up Studies</topic><topic>Fracture Fixation, Internal - instrumentation</topic><topic>Fracture Fixation, Internal - methods</topic><topic>Head and neck surgery. Maxillofacial surgery. Dental surgery. Orthodontics</topic><topic>Humans</topic><topic>Joint Dislocations - surgery</topic><topic>Mandibular Condyle - injuries</topic><topic>Mandibular Condyle - physiopathology</topic><topic>Mandibular Fractures - physiopathology</topic><topic>Mandibular Fractures - surgery</topic><topic>Maxillofacial surgery. Dental surgery. Orthodontics</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Miniaturization</topic><topic>Range of Motion, Articular - physiology</topic><topic>Reproducibility of Results</topic><topic>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</topic><topic>Temporomandibular Joint - physiopathology</topic><topic>Traumas. Diseases due to physical agents</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Schön, Ralf</creatorcontrib><creatorcontrib>Schramm, Alexander</creatorcontrib><creatorcontrib>Gellrich, Nils-Claudius</creatorcontrib><creatorcontrib>Schmelzeisen, Rainer</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>ComDisDome</collection><jtitle>Journal of oral and maxillofacial surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Schön, Ralf</au><au>Schramm, Alexander</au><au>Gellrich, Nils-Claudius</au><au>Schmelzeisen, Rainer</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Follow-up of condylar fractures of the mandible in 8 patients at 18 months after transoral endoscopic-assisted open treatment</atitle><jtitle>Journal of oral and maxillofacial surgery</jtitle><addtitle>J Oral Maxillofac Surg</addtitle><date>2003-01</date><risdate>2003</risdate><volume>61</volume><issue>1</issue><spage>49</spage><epage>54</epage><pages>49-54</pages><issn>0278-2391</issn><eissn>1531-5053</eissn><coden>JOMSDA</coden><abstract>Purpose: The results of endoscopic-assisted transoral approach for open reduction and miniplate fixation of condylar mandible fractures were evaluated 18 months after surgery. Patients and Methods: The transoral endoscopic-assisted treatment of condylar fractures was performed in 8 consecutive patients from April 1998 to December 1999 at the University Hospital Freiburg. Four of 8 condylar fractures were dislocated, and 6 of the 8 patients had additional mandibular fractures. Results: Anatomic reduction was achieved in all patients without facial nerve damage. There were no signs of bony resorption and good temporomandibular joint function 18 months after surgery. In 4 patients, the transoral management of condylar fractures was facilitated by angulated drills and screw drivers. Transbuccal stab incisions were not needed in these 4 patients. In all 8 patients, visible scars were avoided. Conclusions: The endoscopic-assisted transoral approach proved to be a reliable surgical method for condylar fractures when dislocation with lateral override was present. © 2003 American Association of Oral and Maxillofacial Surgeons J Oral Maxillofac Surg 61:49-54, 2003</abstract><cop>New York, NY</cop><pub>Elsevier Inc</pub><pmid>12524608</pmid><doi>10.1053/joms.2003.50009</doi><tpages>6</tpages></addata></record> |
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subjects | Adult Biological and medical sciences Bone Plates Bone Resorption - classification Bone Screws Cicatrix - prevention & control Dental Occlusion Dentistry Endoscopy - methods Ent, stomatology, face, injuries. Foreign bodies. Diseases due to physical agents: otorhinolaryngology Equipment Design Follow-Up Studies Fracture Fixation, Internal - instrumentation Fracture Fixation, Internal - methods Head and neck surgery. Maxillofacial surgery. Dental surgery. Orthodontics Humans Joint Dislocations - surgery Mandibular Condyle - injuries Mandibular Condyle - physiopathology Mandibular Fractures - physiopathology Mandibular Fractures - surgery Maxillofacial surgery. Dental surgery. Orthodontics Medical sciences Middle Aged Miniaturization Range of Motion, Articular - physiology Reproducibility of Results Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases Temporomandibular Joint - physiopathology Traumas. Diseases due to physical agents Treatment Outcome |
title | Follow-up of condylar fractures of the mandible in 8 patients at 18 months after transoral endoscopic-assisted open treatment |
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