Lateral override 과두하골절에서 내시경을 이용한 관혈적 정복술 및 내고정의 결과
The result of endoscope-assisted open reduction and internal fixation (EAORIF) of lateral overridden subcondyle fracture
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Introduction: Endoscope-assisted open reduction and internal fixation (EAORIF) reduces the amount of facial scaring, but limitations, such as the possibility to convert to the open technique and the large learning curve, remain. Materials and Methods: The medical records of 19 patients diagnosed as lateral overridden subcondyle fractures and treated with endoscopeassisted open reduction and internal fixation at Yonsei University Health System from December 2006 to August 2010 were reviewed. Results: 11 patients underwent temporary discomfort or pain such as limitation of mouth opening, temporomandibular joint discomfort, lip paresthesia or facial weakness, but the symptoms disappeared within 3 months. There was no severe long-term complication except 2 patients with re-fractures of operated subcondyles. Conclusion: Subcondyle fracture with lateral overridden proximal segment is a better indication of endoscope-assisted open reduction and internal fixation than a condylar head/neck fracture, or medial overridden subcondyle fracture: allowing an anatomic reduction.
Abstract
Introduction: Endoscope-assisted open reduction and internal fixation (EAORIF) reduces the amount of facial scaring, but limitations, such as the possibility to convert to the open technique and the large learning curve, remain. Materials and Methods: The medical records of 19 patients diagnosed as lateral overridden subcondyle fractures and treated with endoscopeassisted open reduction and internal fixation at Yonsei University Health System from December 2006 to August 2010 were reviewed. Results: 11 patients underwent temporary discomfort or pain such as limitation of mouth opening, temporomandibular joint discomfort, lip paresthesia or facial weakness, but the symptoms disappeared within 3 months. There was no severe long-term complication except 2 patients with re-fractures of operated subcondyles. Conclusion: Subcondyle fracture with lateral overridden proximal segment is a better indication of endoscope-assisted open reduction and internal fixation than a condylar head/neck fracture, or medial overridden subcondyle fracture: allowing an anatomic reduction.
참고문헌 (11)
- Lindahl L, "Condylar fractures of the mandible. I. Classification and relation to age, occlusion, and concomitant injuries of teeth and teeth-supporting structures, and fractures of the mandibular body", Int J Oral Surg, 6, pp.12~21 (1977)
- Kellman RM, "Endoscopic approach to subcondylar mandible fractures", Facial Plast Surg, 20, pp.239~247 (2004)
- Choi BH, "Clinical evaluation of 3 types of plate osteosynthesis for fixation of condylar neck fractures", J Oral Maxillofac Surg, 59, pp.734~738 (2001)
- Lee C, "Endoscopic subcondylar fracture repair: functional, aesthetic, and radiographic outcomes", Plast Reconstr Surg, 102, pp.1434~1445 (1998)
- Kellman RM, "Endoscopic approaches to subcondylar fractures of the mandible", Facial Plast Surg, 25, pp.23~28 (2009)
- Ducic Y, "Endoscopic treatment of subcondylar fractures", Laryngoscope, 118, pp.1164~1167 (2008)
- Cho-Lee GY, "Endoscopically-assisted transoral approach for the treatment of subcondylar fractures of the mandible", Med Oral Patol Oral Cir Bucal, 13, pp.E511~E515 (2008)
- Troulis MJ, "Endoscopic open reduction and internal rigid fixation of subcondylar fractures", J Oral Maxillofac Surg, 62, pp.1269~1271 (2004)
- Vural E, "Treatment of adult subcondylar mandibular fractures: closed vs open vs endoscopic approach", Arch Otolaryngol Head Neck Surg, 130, pp.1228~1230 (2004)
- 팽준영, "내시경을 이용한 하악골 과두경부 골절의 정복 및 견고 고정술", 대한구강악안면외과학회지, 32(5), pp.474~474 (2006), 대한구강악안면외과학회
- Schoen R, "Preliminary functional results of endoscope-assisted transoral treatment of displaced bilateral condylar mandible fractures", Int J Oral Maxillofac Surg, 37, pp.111~116 (2008)