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
최은주 ; 차인호 ; 남 웅
Journal of the Korean Association of Oral and Maxillofacial Surgeons (대한구강악안면외과학회지 ), Vol.37(1) : 62~66, 2011
Journal of the Korean Association of Oral and Maxillofacial Surgeons (대한구강악안면외과학회지 )
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.