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Does a Modified Endaural Incision Reduce Facial Nerve Injury and Improve Cosmesis When Compared to the Modified Pre-Auricular Incision for Management of Temporomandibular Joint Ankylosis?
J Oral Maxillofac Surg
October 2024
Professor and Head, Faculty of Dentistry, Division of Craniomaxillofacial Surgery, All India Institute of Medical Sciences (AIIMS) Rishikesh, India.
Background: Facial nerve injury (FNI) and unesthetic scar are distressing complications of temporomandibular joint (TMJ) surgery. Insufficient evidence on whether a modified endaural incision can reduce FNI and serve as an aesthetic alternative is a concern.
Purpose: The purpose of this study was to compare the postoperative FNI and surgical scar cosmesis using modified endaural incision (Inviscision approach [IA]) and modified preauricular incision (Alkayat-Bramley approach [ABA]) in TMJ ankylosis.
Post-surgical Hypertrophic Scar in a Patient With Unilateral Temporomandibular Joint Ankylosis.
Cureus
August 2024
Department of Oral and Maxillofacial Surgery, Tamil Nadu Government Dental College and Hospital, Chennai, IND.
Article Synopsis
- - Wound healing is a complex biological process aimed at repairing damaged tissues, especially in critical areas like the temporomandibular joint (TMJ), which is essential for jaw movement.
- - TMJ ankylosis severely limits mouth opening and movement, impacting vital functions like eating, speaking, and overall quality of life; gap arthroplasty is a common surgical treatment for this condition.
- - The healing process in TMJ can be complicated due to its anatomy and stress, leading to issues like hypertrophic scarring, necessitating a collaborative approach involving different health professionals for effective treatment.
Inviscision: A Futuristic Alternative to Endaural Incision for TMJ Surgeries.
J Maxillofac Oral Surg
August 2024
Department of Oral & Maxillofacial Surgery, Government Dental College & Hospital, Ahmedabad, Gujarat India.
Article Synopsis
- The study examines two surgical techniques for TMJ surgery: the traditional endaural incision and the newer Inviscision, focusing on surgical exposure, nerve injury, and aesthetic results.
- The results showed that Inviscision requires slightly more time but leaves an invisible scar, while endaural leaves a thin visible line; both techniques had similar rates of nerve weakness with no severe complications.
- Overall, Inviscision is favored for its cosmetic benefits despite slightly longer surgical time, while endaural incision may be more efficient in terms of exposure time.
A Review of Surgical Incisions Used for the Excision of Benign Parotid Tumors.
Ann Plast Surg
August 2024
From the Department of Plastic Surgery, Zhongshan Hospital, Fudan University, Shanghai, China.
Article Synopsis
- The study aims to provide surgical guidelines for choosing the best incisions for parotidectomy while examining new techniques and potential complications.
- A review of literature from 2008 to 2021 identified 9 innovative incision designs and 8 possible postoperative complications associated with parotidectomy.
- The findings indicate a growing trend in modified parotidectomy techniques that enhance cosmetic results, reduce complications, and improve overall patient satisfaction due to advancements in surgical techniques and anatomical knowledge.
The endaural subtemporal keyhole: a novel minimally invasive approach to the middle cranial fossa.
J Neurosurg
October 2024
Divisions of1Neurosurgery and.
Article Synopsis
- The study aimed to assess the viability of a new minimally invasive technique called the endaural keyhole for accessing the middle cranial fossa.
- Researchers reviewed patient charts and conducted cadaver dissections to test this approach.
- Six patients who underwent procedures like CSF leak repairs and tumor removals showed no complications using this technique, indicating its promise for treating various conditions in that brain area, but further research is needed.
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