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Revista Española de Cirugía Oral y Maxilofacial

versión On-line ISSN 2173-9161versión impresa ISSN 1130-0558

Resumen

CREO MARTINEZ, T; NUNEZ VERA, MV; TOFE POVEDANO, A  y  RODRIGUEZ RUIZ, JA. Treatment of subcondilar and condilar neck mandibular fractures by the intraoral endoscopically-assisted approach. Rev Esp Cirug Oral y Maxilofac [online]. 2019, vol.41, n.2, pp.75-79.  Epub 30-Mar-2020. ISSN 2173-9161.  http://dx.doi.org/10.20986/recom.2019.1033/2019.

Introduction:

The treatment of condylar fractures continues to generate controversy, opting in most cases for closed reductions with suboptimal treatment. We present our results in 26 patients treated by endoscopically assisted intraoral approach as treatment for subcondylar and neck condyle fractures.

Material and method:

Prospective observational follow-up of 26 patients who were treated at our Oral and Maxillofacial Surgery Service at the Virgen del Mar University Hospital of Cádiz from March 2010 to January 2018. Of these 26 patients, 23 were men and 3 women, with an age average of 29 years.

Results:

Of the 26 operated cases, 6 were neck fractures and 20 were subcondylar. All the patients came out of the operating room with their mouths open, a stable occlusion and good oral opening. The most important complication was an infection that resolved with antibiotic therapy.

Discussion:

Our team has followed the philosophy of other authors to address all condylar fractures, even those with a displacement of less than 10°, following the premise that, if other non-displaced mandibular fractures are not blocked prior to the introduction of osteosynthesis plates were blocked, why should we perform this practice in the fractures of condyle with the consequent aggression to the joint?

Conclusion:

Open reduction with endoscopic assisted intraoral approach is a safe, reproducible and effective technique in most extracapsular fractures.

Palabras clave : Condylar fractures; endoscopically guided approach; occlusion; intermaxillary block.

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