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...
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Format: | Article |
Language: | English |
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Wolters Kluwer Medknow Publications
2020-01-01
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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 |
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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 |