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Complications in endoscopic-assisted open reduction and internal fixation of mandibular condyle fractures

Authors
 Sang-Hoon Kang  ;  Eun-Joo Choi  ;  Hyun-Woo Kim  ;  Hyung-Jun Kim  ;  In-Ho Cha  ;  Woong Nam 
Citation
 ORAL SURGERY ORAL MEDICINE ORAL PATHOLOGY ORAL RADIOLOGY, Vol.113(2) : 201-206, 2012 
Journal Title
 ORAL SURGERY ORAL MEDICINE ORAL PATHOLOGY ORAL RADIOLOGY 
ISSN
 2212-4403 
Issue Date
2012
MeSH
Adolescent ; Adult ; Age Factors ; Endoscopy/adverse effects* ; Endoscopy/instrumentation ; Endoscopy/methods ; Female ; Fracture Fixation, Internal/adverse effects ; Fracture Fixation, Internal/instrumentation ; Fracture Fixation, Internal/methods* ; Humans ; Male ; Mandibular Condyle/injuries* ; Mandibular Condyle/surgery ; Mandibular Fractures/surgery* ; Middle Aged ; Postoperative Complications/classification ; Postoperative Complications/prevention & control* ; Young Adult
Keywords
Adolescent ; Adult ; Age Factors ; Endoscopy/adverse effects* ; Endoscopy/instrumentation ; Endoscopy/methods ; Female ; Fracture Fixation, Internal/adverse effects ; Fracture Fixation, Internal/instrumentation ; Fracture Fixation, Internal/methods* ; Humans ; Male ; Mandibular Condyle/injuries* ; Mandibular Condyle/surgery ; Mandibular Fractures/surgery* ; Middle Aged ; Postoperative Complications/classification ; Postoperative Complications/prevention & control* ; Young Adult
Abstract
Endoscopic-assisted open reduction and internal fixation (EAORIF) of subcondylar fractures is minimally invasive, provides excellent visibility without a large incision, and reduces surgical scarring and the risk of facial nerve injury. This study evaluated the complications associated with EAORIF. Twenty-six patients underwent EAORIF for mandibular condyle fractures. The postoperative follow-up period was longer than 6 months. We analyzed associations between the complication incidence and the number of fixation plates, accompanying mandibular fractures, and age. Eighteen (69.2%) and 6 (23.1%) patients had temporary (<3 months after surgery) and long-term (>6 months after surgery) complications, respectively. Patients older than 30 years had complications more frequently than those younger than 30 years. Complication rates were similar for different numbers of fixation plates and among patients with and without accompanying mandibular fractures. EAORIF is a reliable technique for treating condylar fractures, regardless of patient age, number of fixation plates, or accompanying mandibular fractures. However, improvements are needed to reduce long-term complications.
Full Text
http://www.sciencedirect.com/science/article/pii/S1079210411000783
DOI
22677737
Appears in Collections:
2. College of Dentistry (치과대학) > Dept. of Oral and Maxillofacial Surgery (구강악안면외과학교실) > 1. Journal Papers
Yonsei Authors
Nam, Woong(남웅) ORCID logo https://orcid.org/0000-0003-0146-3624
Cha, In Ho(차인호) ORCID logo https://orcid.org/0000-0001-8259-2190
Choi, Eyn Joo(최은주)
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/91612
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