title: Clinical and radiological outcomes of transoral endoscope-assisted treatment of mandibular condylar fractures.
abstract: Fractures of the mandibular condyle are one of the most common craniofacial fractures. However, the diagnosis and treatment of these fractures is controversial because of the multiple surgical approaches available. The purposes of this study were to identify surgery-related technical tips for better outcomes and to evaluate the results as well as complications encountered during 7 years of endoscope use to supplement the limited intraoral approach in the treatment of mandibular condylar fractures. Between 2005 and 2012, 50 patients with condylar fractures underwent endoscope-assisted reduction surgery. Postoperative facial bone computed tomography and panoramic radiography demonstrated adequate reduction of the condylar fractures in all patients. No condylar resorption was detected, and most patients displayed a satisfactory functional and structural recovery. There was no facial nerve damage or transitory hypoesthesia, and there were no visible scars after the surgery. Transoral endoscope-assisted treatment is a challenging but reliable method with lower morbidity and a rapid recovery.
authors.affiliation: Department of Plastic Surgery, Korea University College of Medicine, Seoul, Republic of Korea.
authors.forename: H-J
authors.initials: HJ
authors.lastname: You
authors.affiliation: Department of Plastic Surgery, Korea University College of Medicine, Seoul, Republic of Korea.
authors.forename: K-C
authors.initials: KC
authors.lastname: Moon
authors.affiliation: Department of Plastic Surgery, Korea University College of Medicine, Seoul, Republic of Korea. Electronic address: yesanam2@korea.ac.kr.
authors.forename: E-S
authors.initials: ES
authors.lastname: Yoon
authors.affiliation: Department of Plastic Surgery, Korea University College of Medicine, Seoul, Republic of Korea.
authors.forename: B-I
authors.initials: BI
authors.lastname: Lee
authors.affiliation: Department of Plastic Surgery, Korea University College of Medicine, Seoul, Republic of Korea.
authors.forename: S-H
authors.initials: SH
authors.lastname: Park
mesh_terms: D000328:Adult; D000368:Aged; D004724:Endoscopy; D005260:Female; D005593:Fracture Fixation, Internal / Q000379:methods*; D006801:Humans; D021621:Imaging, Three-Dimensional; D008297:Male; D008335:Mandibular Condyle / Q000293:injuries*; D008337:Mandibular Fractures / Q000601:surgery*; D063175:Mandibular Reconstruction / Q000379:methods*; D008875:Middle Aged; D011862:Radiography, Panoramic; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome
keywords: condyle; endoscopy; mandible fracture; radiology