title: [Outcome of endoscopically assisted surgical treatment of mandibular condyle fractures: a retrospective study of 22 patients].
abstract: BACKGROUND
  The condylar region is a frequent localization of mandibular fractures; there are various types of management. Mini-invasive endoscopic surgery is an alternative to open reduction. We had as goal to evaluate the outcome of this technique.
  
  
  METHODS
  We performed a monocentric retrospective study of patients consecutively operated for a condylar fracture (type II to V in the Spiessl and Schroll classification) with intraoral route and endoscopic assistance, during 30 months. We assessed the functional and radiological outcomes, and the complications.
  
  
  RESULTS
  Twenty-two patients (25 fractures) were included. Seventeen patients (19 fractures) could be followed (mean follow-up: 16.7 months). The mean values were: interincisal opening, 45mm (±8.4); protrusion, 8.3mm (±1.9); ipsilateral excursion of the jaw: 8.6mm (±2); contralateral excursion: 8.7mm (±4). Three routes were used combined with a preauricular approach. The fracture reduction was good for 10 of the 19 fractures and poor for 3. The complications were: 3 cases of infection, 1 case of fixation failure with good consolidation; for combined approaches: 2 cases of temporary facial palsy and 2 cases of Frey syndrome.
  
  
  CONCLUSIONS
  Endoscopic assistance for the surgical management of the fracture of mandibular condyle is a reliable technique, with a good functional outcome, and a low rate of specific complications, especially for facial nerve lesion or esthetic outcome.
authors.affiliation: Service de chirurgie maxillo-faciale et plastique, hôpital Nord, CHU de Saint-Étienne, avenue Albert-Raimond, 42055 Saint-Étienne cedex 2, France; Laboratoire SNA-EPIS, EA 4607, université Jean-Monnet, 42055 Saint-Étienne cedex 2, France.
authors.forename: V
authors.initials: V
authors.lastname: Prade
authors.affiliation: Service de chirurgie maxillo-faciale et plastique, hôpital Nord, CHU de Saint-Étienne, avenue Albert-Raimond, 42055 Saint-Étienne cedex 2, France; Faculté de médecine, université Jean-Monnet, 42023 Saint-Étienne cedex 2, France.
authors.forename: P
authors.initials: P
authors.lastname: Seguin
authors.affiliation: Service de radiologie, hôpital Nord, CHU de Saint-Etienne, avenue Albert-Raimond, 42055 Saint-Étienne cedex 2, France; Groupe de recherche sur la thrombose, EA 3065, 15, rue Ambroise-Paré, 42300 Saint-Étienne, France.
authors.forename: C
authors.initials: C
authors.lastname: Boutet
authors.affiliation: Service de chirurgie maxillo-faciale et plastique, hôpital Nord, CHU de Saint-Étienne, avenue Albert-Raimond, 42055 Saint-Étienne cedex 2, France; Laboratoire SNA-EPIS, EA 4607, université Jean-Monnet, 42055 Saint-Étienne cedex 2, France; Faculté de médecine, université Jean-Monnet, 42023 Saint-Étienne cedex 2, France; CREATIS-LRMN, CNRS UMR 5220 - Inserm U1044 - université Lyon 1 - INSA Lyon, 7, avenue Jean-Capelle, 69621 Villeurbanne cedex, France. Electronic address: thomas.alix@chu-st-etienne.fr.
authors.forename: T
authors.initials: T
authors.lastname: Alix
mesh_terms: D000293:Adolescent; D000328:Adult; D004724:Endoscopy / Q000379:methods*; D005260:Female; D005500:Follow-Up Studies; D005593:Fracture Fixation, Internal / Q000379:methods*; D006801:Humans; D008297:Male; D008335:Mandibular Condyle / Q000000981:diagnostic imaging / Q000293:injuries* / Q000601:surgery; D008337:Mandibular Fractures / Q000000981:diagnostic imaging / Q000453:epidemiology / Q000601:surgery*; D008875:Middle Aged; D011183:Postoperative Complications / Q000453:epidemiology / Q000209:etiology; D011859:Radiography; D012189:Retrospective Studies; D016896:Treatment Outcome; D055815:Young Adult
keywords: Condyle; Endoscopie; Endoscopy; Fracture; Mandibulaire; Mandibular condyle; Mandibular fracture; Osteosynthesis; Ostéosynthèse