Endoscopic management of facial fractures

Annette M. Pham, E Bradley Strong

Research output: Contribution to journalArticle

35 Scopus citations

Abstract

PURPOSE OF REVIEW: Endoscopic applications in otolaryngology continue to expand, most recently in the area of maxillofacial trauma. Endoscopic management of orbital blow-out, frontal sinus, zygomatic arch, and subcondylar fractures has been described. This paper reviews the current literature including new techniques, indications, and outcomes in endoscopic management of facial fractures. RECENT FINDINGS: Very few large studies of endoscopic fracture repair exist. The current literature, however, suggests that, when compared with an open approach, smaller endoscopic incisions result in reduced patient morbidity with similar outcomes. Dedicated endoscopic instrumentation and novel surgical approaches continue to be developed. SUMMARY: Endoscopic repair of facial fractures is a new and evolving technique that offers the potential for reduced patient morbidity and operating time, as well as quicker patient recovery. Current applications include the management of orbital blow-out, frontal sinus, zygomatic arch, and subcondylar fractures. It should be emphasized that endoscopy augments, rather than replaces, the 'time tested' principles of adequate skeletal exposure, accurate fracture reduction, and appropriate internal fixation.

Original languageEnglish (US)
Pages (from-to)234-241
Number of pages8
JournalCurrent Opinion in Otolaryngology and Head and Neck Surgery
Volume14
Issue number4
DOIs
StatePublished - Aug 2006

Keywords

  • Endoscopic management
  • Facial fractures
  • Frontal sinus
  • Mandibular condyle
  • Orbital blow-out
  • Zygomatic arch

ASJC Scopus subject areas

  • Otorhinolaryngology
  • Surgery

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