The synergy between endoscopic assistance and extraoral approach in subcondylar fracture repair: a report of 13 cases.
BACKGROUND
We aimed to present the primary experience of one surgeon with a new surgical technique performed on the first 13 cases and to evaluate outcomes following an extraoral endoscopic approach to subcondylar fractures.


METHODS
Fifteen subcondylar fractures in 13 patients, who were treated at Ondokuz Mayis University Hospital between January 2010 and June 2011, were included in this study. Patients were operated on using either endoscopic or open approach.


RESULTS
Rigid plate fixation was completed endoscopically using extraoral approach in nine fractures, while six fractures were plated by conversion to a full-open approach. In all six fractures that could not be fixed endoscopically, the proximal fragments were medially displaced, whereas seven of nine fractures that were successfully fixed endoscopically were laterally displaced.


CONCLUSIONS
An extraoral endoscopic approach for subcondylar fractures is feasible and can be carried out with decreased morbidity. This approach is recommended for those with limited experience in endoscopy to treat low laterally displaced subcondylar fractures as their initial cases.
Department of Plastic, Reconstructive and Aesthetic Surgery, Ondokuz Mayıs University Faculty of Medicine, Samsun, Turkey.
Lütfi
L
Eroğlu
Ibrahim Alper
IA
Aksakal
Musa Kemal
MK
Keleş
Çağlayan
Ç
Yağmur
Ozan
O
Aslan
Tekin
T
Şimşek
D000328:Adult; D001860:Bone Plates; D004724:Endoscopy; D005260:Female; D005593:Fracture Fixation, Internal / Q000379:methods; D006785:Hospitals, University; D006801:Humans; D008297:Male; D008335:Mandibular Condyle / Q000293:injuries* / Q000601:surgery; D008337:Mandibular Fractures / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery*; D008875:Middle Aged; D011859:Radiography; D016896:Treatment Outcome; D014945:Wound Healing; D055815:Young Adult