Advertisement

Endoscopic treatment of mandibular condylar fractures in live minipigs: benefits of the operative learning curve

Published:December 17, 2012DOI:https://doi.org/10.1016/j.bjoms.2012.11.014

      Abstract

      Endoscopic treatment of mandibular condyle fractures is a minimally invasive technique that avoids the complications of open reduction and internal fixation. We have used live minipigs as an animal model for learning and training the technique. Fourteen condylar fractures were created, reduced, and internally plated in 7 minipigs using an endoscopic approach by a surgeon with no previous experience of the technique. The mandibles were reduced and fixed successfully in each animal. Operating time was reduced as the surgeon became more familiar with the technique. Minipigs are useful as a model for the endoscopic approach to the treatment of mandibular condylar fractures. Surgeons have the opportunity to train and gain surgical endoscopic experience before treating patients.

      Keywords

      To read this article in full you will need to make a payment

      Purchase one-time access:

      Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'

      Subscribe:

      Subscribe to British Journal of Oral and Maxillofacial Surgery
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect

      References

        • Eckelt U.
        • Schneider M.
        • Erasmus F.
        • et al.
        Open versus closed treatment of fractures of the mandibular condylar process – a prospective randomized multi-centre study.
        J Craniomaxillofac Surg. 2006; 34: 306-314
        • González-García R.
        • Sanromán J.F.
        • Goizueta-Adame C.
        • et al.
        Transoral endoscopic-assisted management of subcondylar fractures in 17 patients: an alternative to open reduction with rigid internal fixation and closed reduction with maxillomandibular fixation.
        Int J Oral Maxillofac Surg. 2009; 38: 19-25
        • Schmelzeisen R.
        • Cienfuegos-Monroy R.
        • Schön R.
        • et al.
        Patient benefit from endoscopically assisted fixation of condylar neck fractures – a randomized controlled trial.
        J Oral Maxillofac Surg. 2009; 67: 147-158
        • Domanski M.C.
        • Goodman J.
        • Frake P.
        • et al.
        Pitfalls in endoscopic treatment of mandibular subcondylar fractures.
        J Craniofac Surg. 2011; 22: 2260-2263
        • Arcuri F.
        • Brucoli M.
        • Baragiotta N.
        • et al.
        Analysis of complications following endoscopically assisted treatment of mandibular condylar fractures.
        J Craniofac Surg. 2012; 23: 196-198
        • Mannion C.J.
        • Loukota R.A.
        Endoscopically assisted treatment of condylar fractures – experiences following an educational course.
        Br J Oral Maxillofac Surg. 2010; 48: 453-454
        • Pilling E.
        • Eckelt U.
        • Loukota R.
        • et al.
        Comparative evaluation of ten different condylar base fracture osteosynthesis techniques.
        Br J Oral Maxillofac Surg. 2010; 48: 527-531
        • Sasaki R.
        • Watanabe Y.
        • Yamato M.
        • et al.
        Surgical anatomy of the swine face.
        Lab Anim. 2010; 44: 359-363
        • López-Cedrún J.L.
        • Ewart Z.
        • Luaces-Rey R.
        • et al.
        A sheep model for endoscopic treatment of mandible subcondylar fractures.
        Surg Endosc. 2012; 26: 2644-2650
        • Loukota R.A.
        Endoscopically assisted reduction and fixation of condylar neck/base fractures – the learning curve.
        Br J Oral Maxillofac Surg. 2006; 44: 480-481