Endoscopically assisted management of mandibular condylar fractures. 2009

Shahid R Aziz, and Vincent B Ziccardi
Department of Oral and Maxillofacial Surgery, University of Medicine and Dentistry of New Jersey, New Jersey Dental School, 110 Bergen Street, Newark, NJ 07103, USA. azizsr@umdnj.edu

Endoscopic-assisted open reduction/internal fixation of mandibular condylar fractures is a viable alternative to traditional closed or open reduction techniques. However, case selection is important. Ideally, the fracture undergoing EAORIF should be easily manipulated into reduction and have enough stable bone on either side of the fracture to support a bone plate. It is important to note that in all reprinted studies, authors note a steep "learning curve" with the EAORIF technique. Identical procedures took the novice surgeon two to three times as long when compared with an experienced surgeon. EAORIF is a technique that should be included in the armamentarium of the maxillofacial trauma surgeon when treating mandibular condylar fractures.

UI MeSH Term Description Entries
D008335 Mandibular Condyle The posterior process on the ramus of the mandible composed of two parts: a superior part, the articular portion, and an inferior part, the condylar neck. Condyle, Mandibular,Condyles, Mandibular,Mandibular Condyles
D008337 Mandibular Fractures Fractures of the lower jaw. Fracture, Mandibular,Fractures, Mandibular,Mandibular Fracture
D004724 Endoscopy Procedures of applying ENDOSCOPES for disease diagnosis and treatment. Endoscopy involves passing an optical instrument through a small incision in the skin i.e., percutaneous; or through a natural orifice and along natural body pathways such as the digestive tract; and/or through an incision in the wall of a tubular structure or organ, i.e. transluminal, to examine or perform surgery on the interior parts of the body. Endoscopic Surgical Procedures,Surgical Procedures, Endoscopic,Endoscopic Surgical Procedure,Endoscopy, Surgical,Surgical Endoscopy,Surgical Procedure, Endoscopic,Procedure, Endoscopic Surgical,Procedures, Endoscopic Surgical
D005593 Fracture Fixation, Internal The use of internal devices (metal plates, nails, rods, etc.) to hold the position of a fracture in proper alignment. Osteosynthesis, Fracture,Fixation, Internal Fracture,Fixations, Internal Fracture,Fracture Fixations, Internal,Fracture Osteosyntheses,Fracture Osteosynthesis,Internal Fracture Fixation,Internal Fracture Fixations,Osteosyntheses, Fracture
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D013704 Temporomandibular Joint An articulation between the condyle of the mandible and the articular tubercle of the temporal bone. TMJ,Joint, Temporomandibular,Joints, Temporomandibular,Temporomandibular Joints
D019248 Jaw Fixation Techniques The stable placement of surgically induced fractures of the mandible or maxilla through the use of elastics, wire ligatures, arch bars, or other splints. It is used often in the cosmetic surgery of retrognathism and prognathism. (From Dorland, 28th ed, p636) Maxillomandibular Fixation,Jaw Fixation Technics,Fixation Technic, Jaw,Fixation Technics, Jaw,Fixation Technique, Jaw,Fixation Techniques, Jaw,Fixation, Maxillomandibular,Fixations, Maxillomandibular,Jaw Fixation Technic,Jaw Fixation Technique,Maxillomandibular Fixations,Technic, Jaw Fixation,Technics, Jaw Fixation,Technique, Jaw Fixation,Techniques, Jaw Fixation

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