Analysis of Complications Following Endoscopically Assisted Treatment of Mandibular Condylar Fractures

Abstract

Although we cannot draw statistically significant conclusions, we think that further randomized clinical trials should be necessary to analyze this method; we believe that there is not an ideal approach for a fracture, but each patient needs to be fully evaluated carefully preoperatively, and the more convenient approach needs to be selected for each case.

Facial nerve injuries associated with the retromandibular transparotid approach for reduction and fixation of mandibular condyle fractures

“…Other alternatives to decrease the incidence of FN damage with the retromandibular approach are intraoral endoscope-assisted fixation (Arcuri et al, 2012), anteroparotid transmasseteric approach (Wilson et al, 2005), mini retromandibular transparotid approach (Biglioli and Colletti, 2008), submandibular approach and the transoral approach (Pereira-Filho et al, 2011). Intraoral endoscope-assisted fixation suffers from disadvantages such as limited access, particularly in medially displaced/dislocated fractures, need for expensive equipment, increased operative time, a steep learning curve and a FN damage incidence similar to extraoral methods of fixation of the condyle (Haug and Brandt., 2004).…”

Comparison Between Two Techniques for the Treatment of Mandibular Subcondylar Fractures: Closed Treatment Technique and Transoral Endoscopic-Assisted Open Reduction

“…Arcuri et al [19] based on their data records from 14 patients who underwent surgical repair of subcondylar fractures by transoral endoscopic-assisted technique showed 4 complications experienced by 4 different patients: (1) arterial hemorrhage, (2) facial nerve injury, (3) nonunion, (4) partial condylar reabsorption.…”

Transoral vs. extraoral approach in the treatment of condylar neck fractures

“…Most surgeons have preferred the use of endoscopes (Gonzalez-Garcia et al, 2009;Kellman et al, 2009;Schmelzeisen et al, 2009;Kang et al, 2012;Kokemueller et al, 2012), and some of them consider endoscopy as absolutely essential (Sharif et al, 2010;Neff, 2011 (Arcuri et al, 2012).…”

“…Meanwhile several authors have since reported their experiences, but only as early experiences and in small case numbers (Kanno et al, 2011;Arcuri et al, 2012;Schiel et al, 2013).…”