Cienfuegos-Monroy R, Sierra-Martínez E

Language: Spanish
References: 20
Page: 101-107
PDF size: 267.15 Kb.

ABSTRACT

Endoscopic techniques are a novel resource in the treatment of certain facial fractures. Ten patients, six with fractures of the mandibular condyle and four with fractures of the internal orbit, were operated on with endoscopy-assisted techniques. In condylar process fractures, an intraoral approach was used, with a preauricular accessory port. The internal orbit was repaired through a vestibular incision and an opening in the maxillary antrum in one case; a limited upper-blepharoplasty incision in two cases; and through the wound of an open fracture in one case, with an accessory port in the upper eyelid. Condylar process fractures were fixed with 2.0 titanium mandibular plates and screws. In the internal orbit fractures, the entrapped soft tissues were freed and repositioned, splinters were removed and the defect was repaired with titanium mesh. All patients had a favorable postoperative outcome. Condylar process fractures underwent union with no callus formation. There were no injuries to the facial nerve nor occlusal disturbances. In orbital fractures, normal eye movements and orbital volume were restored. We concluded that endoscopic treatment reduces the risk of injury to the facial nerve in condylar fractures, and enables the internal orbit repair without the need for wide surgical approaches, such as the coronal incision.

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