Indications for transoral endoscopic-assisted methods in condylar process fractures

Objective: Endoscopic-assisted mandibular subcondylar fracture repair is a different way of performing open reduction internal fixation and also includes surgical equipment and manipulations other than those used in the classical methods. The criteria for patient selection should be different from t...

Full description

Bibliographic Details
Main Authors: Osman Akdag, Mustafa Sutcu, Gokce Unal Yildiran, Ahmet Bilirer
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2020-01-01
Series:Turkish Journal of Plastic Surgery
Subjects:
Online Access:http://www.turkjplastsurg.org/article.asp?issn=1300-6878;year=2020;volume=28;issue=1;spage=9;epage=13;aulast=Akdag
_version_ 1811310243961896960
author Osman Akdag
Mustafa Sutcu
Gokce Unal Yildiran
Ahmet Bilirer
author_facet Osman Akdag
Mustafa Sutcu
Gokce Unal Yildiran
Ahmet Bilirer
author_sort Osman Akdag
collection DOAJ
description Objective: Endoscopic-assisted mandibular subcondylar fracture repair is a different way of performing open reduction internal fixation and also includes surgical equipment and manipulations other than those used in the classical methods. The criteria for patient selection should be different from that of the classical methods. Materials and Methods: Between April 2012 and June 2017, treatment protocols which were applied to 56 patients with mandibular subcondylar fracture were evaluated retrospectively. The first step of this study was to evaluate why patients with mandibular subcondylar fractures were not operated endoscopically. In 34 patients, methods other than endoscopic methods were used. Characteristics of these patients and fractures were demonstrated. Results: Twenty-four patients were followed conservatively. Twenty-two patients were treated with transoral endoscopic method while ten patients were treated with the conventional open surgery. This open surgical treatment was reported by determined the patient records for why the endoscopic method was not preferred. The determined criteria were; condyle with excessive medial deviation, patient age, fracture type, general condition/anesthesia risk, and time of injury. Conclusion: In accordance with clinical experience, some criteria have been defined for patient selection preoperatively in mandibular subcondylar fractures. It believes that with the right patient selection, it will be possible to achieve better results and reduce complications.
first_indexed 2024-04-13T09:55:44Z
format Article
id doaj.art-7c84f1ed260a4696bc2a71899e525e74
institution Directory Open Access Journal
issn 2528-8644
language English
last_indexed 2024-04-13T09:55:44Z
publishDate 2020-01-01
publisher Wolters Kluwer Medknow Publications
record_format Article
series Turkish Journal of Plastic Surgery
spelling doaj.art-7c84f1ed260a4696bc2a71899e525e742022-12-22T02:51:24ZengWolters Kluwer Medknow PublicationsTurkish Journal of Plastic Surgery2528-86442020-01-0128191310.4103/tjps.tjps_9_19Indications for transoral endoscopic-assisted methods in condylar process fracturesOsman AkdagMustafa SutcuGokce Unal YildiranAhmet BilirerObjective: Endoscopic-assisted mandibular subcondylar fracture repair is a different way of performing open reduction internal fixation and also includes surgical equipment and manipulations other than those used in the classical methods. The criteria for patient selection should be different from that of the classical methods. Materials and Methods: Between April 2012 and June 2017, treatment protocols which were applied to 56 patients with mandibular subcondylar fracture were evaluated retrospectively. The first step of this study was to evaluate why patients with mandibular subcondylar fractures were not operated endoscopically. In 34 patients, methods other than endoscopic methods were used. Characteristics of these patients and fractures were demonstrated. Results: Twenty-four patients were followed conservatively. Twenty-two patients were treated with transoral endoscopic method while ten patients were treated with the conventional open surgery. This open surgical treatment was reported by determined the patient records for why the endoscopic method was not preferred. The determined criteria were; condyle with excessive medial deviation, patient age, fracture type, general condition/anesthesia risk, and time of injury. Conclusion: In accordance with clinical experience, some criteria have been defined for patient selection preoperatively in mandibular subcondylar fractures. It believes that with the right patient selection, it will be possible to achieve better results and reduce complications.http://www.turkjplastsurg.org/article.asp?issn=1300-6878;year=2020;volume=28;issue=1;spage=9;epage=13;aulast=Akdagendoscopicassisted approachintraoral treatmentsmandibular subcondylar
spellingShingle Osman Akdag
Mustafa Sutcu
Gokce Unal Yildiran
Ahmet Bilirer
Indications for transoral endoscopic-assisted methods in condylar process fractures
Turkish Journal of Plastic Surgery
endoscopicassisted approach
intraoral treatments
mandibular subcondylar
title Indications for transoral endoscopic-assisted methods in condylar process fractures
title_full Indications for transoral endoscopic-assisted methods in condylar process fractures
title_fullStr Indications for transoral endoscopic-assisted methods in condylar process fractures
title_full_unstemmed Indications for transoral endoscopic-assisted methods in condylar process fractures
title_short Indications for transoral endoscopic-assisted methods in condylar process fractures
title_sort indications for transoral endoscopic assisted methods in condylar process fractures
topic endoscopicassisted approach
intraoral treatments
mandibular subcondylar
url http://www.turkjplastsurg.org/article.asp?issn=1300-6878;year=2020;volume=28;issue=1;spage=9;epage=13;aulast=Akdag
work_keys_str_mv AT osmanakdag indicationsfortransoralendoscopicassistedmethodsincondylarprocessfractures
AT mustafasutcu indicationsfortransoralendoscopicassistedmethodsincondylarprocessfractures
AT gokceunalyildiran indicationsfortransoralendoscopicassistedmethodsincondylarprocessfractures
AT ahmetbilirer indicationsfortransoralendoscopicassistedmethodsincondylarprocessfractures