ABSTRACT
BACKGROUND: The authors present their experience with endoscopy assisted open reduction and internal fixation of condylar fractures of the mandible. Their results are presented in a retrospective study of 33 patients with unilateral subcondylar fracture, who underwent a surgical procedure between 2010 and 2015. Reduction and fixation, stability of occlusion 12 months after the operation and also presence of complications were evaluated. RESULTS: Satisfactory reduction (anatomic or physiologic) was achieved in 31 patients. Stability of occlusion was worse in 1 patient (due to condylar absorption). Complications included mainly inflammatory complications (4 patients) and temporary paresis of the facial nerve (3 patients). Impaired function of temporomandibular joint was not reported in any of the patients. CONCLUSION: Endoscopy assisted open reduction and internal fixation is an alternative to classical surgical procedures, however it requires special instrumentarium and experienced surgical team.
Subject(s)
Endoscopy , Fracture Fixation, Internal , Mandibular Condyle/injuries , Mandibular Condyle/surgery , Mandibular Fractures/surgery , Open Fracture Reduction , Postoperative Complications/diagnosis , Adult , Aged , Female , Humans , Male , Middle Aged , Retrospective Studies , Time Factors , Young AdultABSTRACT
It has been shown that fibroblasts within the stroma of malignant tumours can affect the tumour's biological character, influencing such properties as local aggressiveness and metastasis potential. This influence is asserted via paracrine secretion of multiple cell factors, including chemokines. This study demonstrates that both normal keratinocytes and cancer cells can stimulate the secretion of chemokines IL-8 and CXCL-1 from normal dermal fibroblasts and stromal fibroblasts from squamous cell carcinoma. The effect of epithelia on normal fibroblasts leads to a transient secretory change, in contrast to stromal fibroblasts which generate a more prolonged one. This observation demonstrates that stimulated expression of both IL-8 and CXCL-1 is not specific to cancer, supporting the hypothesis that similar mechanisms exist between wound healing and oncogenesis. It also shows that stromal fibroblasts isolated from a tumour have significantly different features from normal fibroblasts.