Browsing by Author "Abdelazeem, Mohamed Hazem"

Now showing 1 - 4 of 4

Citation Count: 1
Endoscopically Assisted Transoral Gap Arthroplasty of the Temporomandibular joint Ankylosis in a Pediatric Patient
(Lippincott Williams & Wilkins, 2018) Erdoğan, Özgür; Erdogan, Ozgur; Awad, Tarek Ahmed; Ağız,Diş ve Çene Cerrahisi / Oral, Dental and Maxillofacial Surgery
Surgical management of temporomandibular joint (TMJ) ankylosis in children is often challenging and may result in various complications such as facial nerve injury and visible scar. In this clinical report, the authors present minimally invasive management of a 9-year-old boy with bilateral post-traumatic TMJ ankylosis. The ankylotic TMJs were addressed and gap arthoplasties were performed by endoscopically assisted transoral approach. The risk of facial nerve injury is minimized and facial scar was prevented by avoiding extraoral incision. Mandibular movements in 3 directions were satisfactory at 3rd postoperative month.
Citation Count: 1
Implications of an Anatomical Variation of the Infraorbital Nerve in Orbital Floor Reconstruction
(Lippincott Williams & Wilkins, 2022) Erdoğan, Özgür; Erdogan, Ozgur; Osman, Mohamed Fouad; Awad, Tarek Ahmed; Ağız,Diş ve Çene Cerrahisi / Oral, Dental and Maxillofacial Surgery
Fractures involving the orbital floor such as blow-out fractures may cause damage to the infraorbital nerve (ION). The integrity and course of the nerve should be evaluated preoperatively in order to prevent from such nerve injuries. The anatomy of the ION can show variations in significant number of patients, which should be taken into account in treatment planning. In this report, the authors present a patient with an isolated fracture of the orbital floor, who had abnormal anatomy of his both IONs. Our treatment approach for this patient is presented along with relevant literature findings.
Citation Count: 0
Transoral endoscopic assisted reduction and internal fixation of mandibular condylar neck fractures with short condylar segment
(Churchill Livingstone, 2024) Abdelazeem, Mohamed Hazem; Erdoğan, Özgür; Çakır, Merve; Ağız,Diş ve Çene Cerrahisi / Oral, Dental and Maxillofacial Surgery
This study aimed to assess the reliability and safety of transoral endoscopic-assisted reduction internal fixation (TERIF) for treating short-segment condylar neck fractures (CNF), including hardware removal. Patients with displaced CNF and short condylar segments treated using TERIF were included in the study. Clinical evaluation covered dental occlusion, range of mouth opening, deviation during mouth opening, protrusion, laterotrusion, pain, and chewing. Radiological evaluation was used to assess fracture displacement, angulation, head dislocation, postoperative reduction, fixation stability, and bone healing. The same technique was used to treat 15 patients with 18 CNF and short condylar segments. Hardware removal was performed for nine fractures in eight patients after fracture healing using the same approach. All patients regained satisfactory, pain-free mouth opening with no deviation and complete bone healing. Computed tomographic images displayed adequate reduction and stable fixation during the follow-up period for all patients. No temporary or permanent facial nerve impairment occurred in any of the patients. TERIF is a reliable and safe treatment for CNF with short condylar segments, even in the presence of head dislocation, medial override, and malunited fractures; hardware can be safely removed after healing using the same approach.
Citation Count: 1
Transoral Endoscopic-Assisted Reduction and Internal Fixation of Mandibular Condylar Fractures in Children
(W B Saunders Co-elsevier inc, 2023) Erdoğan, Özgür; Aboelela, Salma; Erdogan, Ozgur; Ağız,Diş ve Çene Cerrahisi / Oral, Dental and Maxillofacial Surgery
Purpose: Extraoral approaches for open reduction and fixation of condylar fractures in children are associated with serious risks of complications, including facial nerve injury, facial scarring, parotid fistula, and auriculotemporal nerve injury. The purpose of this study was to retrospectively evaluate the outcomes of transoral endoscopic-assisted open reduction and internal fixation of condylar fractures and hardware removal in pediatric patients. Material and Methods: This study was designed as a retrospective case series. The study included pe-diatric patients admitted with condylar fractures that were indicated for treatment with open reduction and internal fixation. The patients were clinically and radiographically evaluated with regard to occlusion, mouth opening, lateral and protrusive movement of the mandible, pain, chewing and speech difficulties, and bone healing at the fracture site. Computed tomography images were used to assess the reduction of the fractured segment, the stability of fixation and progress of healing of the condylar fracture at follow-up visits. The same surgical treatment approach was applied to all patients. The data from the study were analyzed for a single group without any comparison to other groups. Results: The technique was used for the treatment of 14 condylar fractures in 12 patients between the ages of 3 to 11 years. A total of 28 transoral endoscopic-assisted approaches to the condylar region either for reduction and internal fixation or hardware removal were applied. The mean operating time was 53.1 (+/- 11.3) minutes for the fracture repair and 20 (+/- 2.6) minutes for hardware removal, respectively. The mean follow-up time of the patients was 17.8 (+/- 2.7) months (median: 18) months. All patients regained stable occlusion, satisfactory mandibular motion, stable fixation, and complete bone healing at the frac-ture site at the end of their follow-up period. There was no transient of permanent facial nerve or trigem-inal nerve injury in any of the patients. Conclusions: Endoscopically assisted transoral approach is a reliable technique for reduction and inter-nal fixation of condylar fracture and hardware removal in pediatric patients. The serious risks of extraoral approaches including facial nerve injury, facial scar, and parotid fistula can be eliminated by using this tech-nique. (c) 2023 American Association of Oral and Maxillofacial Surgeons J Oral Maxillofac Surg 81:566-574, 2023