Open Versus Endoscopic Surgery of Craniomaxillofacial (CMF) Condylar Neck Fractures

Open Versus Endoscopic Surgery of Condylar Neck Fractures

This study is a comparison of open surgery versus an endoscopic approach in condylar neck fractures; it will look at functional outcome, cosmetic outcome and patient satisfaction.

The primary outcome measure is functional outcome based on the Helkimo dysfunction index.

Inclusion Criteria:

• Adult patient > 18 years
• Unilateral or bilateral fracture of the condylar neck
• Inclination of the condyle > 30%
• Severe dislocation
• Severe pain upon palpation/movement
• Eligible for open reduction and internal fixation of the fracture
• Amenable to endoscopic as well as open surgery

Exclusion Criteria:

• High or intracapsular condylar neck fracture
• Very low fractures that can be reduced intraorally
• CMF malfunctioning
• Drug or alcohol abuse
• General or local conditions that adversely affect bone physiology
• Physical or mental incapacity to sign informed consent