Endoscopic assisted management of mandibular extracapsular condylar fractures: A prospective randomized controlled study | ||||
| Egyptian Journal of Oral and Maxillofacial Surgery | ||||
| Article 8, Volume 12, Issue 3, July 2021, Page 222-227 PDF (671.69 K) | ||||
| Document Type: Original Article | ||||
| DOI: 10.21608/omx.2022.105552.1143 | ||||
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| Author | ||||
| Hamed Gad* | ||||
| Department of Oral and Maxillofacial Surgery Faculty of Dentistry Minia University | ||||
| Abstract | ||||
| Study design: Endoscopic-assisted open reduction internal fixation (EAORIF) is currently replacing conventional open reduction internal fixation (CORIF). It is claimed that it offers prompt recovery with comparable results while diminishing the risk of facial nerve injury and sparing facial scars. Objective: The current prospective randomized controlled trial aimed to compare the efficacy of both techniques against their risks. Methods: Twelve patients suffering unilateral displaced condylar fractures were equally divided into CORIF and EAORIF. Both groups; condylar fractures were fixed using a standard plate 4-hole maxi plate. Clinical assessment compared facial nerve function, occlusion, TMJ functions, and scar visibility. CT scans were used to assess condylar shape abnormalities and condylar measurements preoperatively and 6 months postoperatively. Results: the mean operative time was a statistically significant reduction in favor of the EAORIF group. Clinical assessment parameters at 6 months were not significant between groups except for scar visibility which showed significant results in favor of EAORIF ( P< 0.05 ). CT measurements revealed a non-significant difference between fractured and non-fractured sides within groups as well as between groups. Conclusion: EAORIF offers faster function regain, superior esthetics and reveals minimal risk of facial nerve injury when compared to CORIF in the treatment of unilateral displaced condylar fractures. | ||||
| Keywords | ||||
| Sub condylar fracture; Extracapsular condylar fracture; Endoscopic-assisted trauma; Endoscopic ORIF | ||||
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