Improvement of the method of diagnostics and treatment of injuries and diseases of the maxillofacial region

Submitted: 24 July 2024
Accepted: 30 August 2024
Published: 11 October 2024
Abstract Views: 72
PDF: 22
Publisher's note
All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.

Authors

This study aims to describe and apply a special endolift device in the treatment of various injuries to the zygomatic-orbital-facial complex as a means of forming an endoscopic space. A patented technique of creating an endoscopic area using an endolift device in the field of maxillofacial surgery, registered under the number 2082 dated 31.07.2018 in the Kyrgyz Republic, on the example of a clinical case, was presented. The endolift is a metal two-piece device that consists of a horizontal round mini plate up to 10 mm in diameter and a perpendicularly located hollow tube up to 4 mm in diameter in the centre of the plate with two holes at the top. The method of endoscopic space formation using endolift was used in 15 patients with various traumas to the maxillofacial region. An example of a clinical case is presented by patient J.B., 36 years old, who underwent endoscopic minimally invasive surgery to reconstruct a mandibular fracture. The course of the operation included a small incision in the submandibular region, soft tissue separation, skeletonization of the jaw, and the formation of a tunnel, for the endolift. The endolift was inserted into the tunnel and an endoscope was inserted through it for visualisation. After alignment of the bone fragments and fixation with a miniplate through the endolift, the wound was sutured, and a dressing was applied. There were no complications during or after surgery in all 15 cases of surgery. Patients were discharged 3 days after the operation in satisfactory condition. The sutures were removed on the 7th day. Functional and cosmetic results were evaluated as satisfactory. The use of this method of treatment ultimately determines the degree of effectiveness, safety, and quality of life of the performed manipulations for patients, especially in countries with low levels of economic development.

Dimensions

Altmetric

PlumX Metrics

Downloads

Download data is not yet available.

Citations

Hargest R. Five thousand years of minimal access surgery: 3000BC to 1850: Early instruments for viewing body cavities. J R Soc Med 2020;113:491-6. DOI: https://doi.org/10.1177/0141076820967913
Hakim MA, McCain JP, Ahn DY, Troulis MJ. Minimally invasive endoscopic oral and maxillofacial surgery. Oral Maxillofac Surg Clin North Am 2019;31:561-7. DOI: https://doi.org/10.1016/j.coms.2019.07.001
Latka K, Kolodziej W, Pawlak K, et al. Fully endoscopic spine separation surgery in metastatic disease—case series, technical notes, and preliminary findings. Med (Lith) 2023;59:993. DOI: https://doi.org/10.3390/medicina59050993
Darzi A, Mackay S. Recent advances in minimal access surgery. BMJ 2002;324:31-4. DOI: https://doi.org/10.1136/bmj.324.7328.31
Trifkovic B, Budak I, Vukelic D, et al. Analysis of accuracy and precision of optical 3D digitisation devices in dental computer-aided-design and computer-aided-manufacturing systems. Maejo Int J Sci Technol 2017;11:45-57.
Lalloo R, Lucchesi LR, Bisignano C, et al. Epidemiology of facial fractures: Incidence, prevalence and years lived with disability estimates from the Global Burden of Disease 2017 study. Inj Prev 2020;26:i27-35.
Postic SD. X-Ray Diffraction Technique in the Analysis of Phases of Hydroxylapatite and Calcium Phosphate in a Human Jaw. Int J Biomed 2014;4:109-11.
Elkahwagi M, Eldegwi A. What is the role of the endoscope in the sinus preservation management of frontal sinus fractures? J Oral Maxillofac Surg 2020;78:1811.e1-9. DOI: https://doi.org/10.1016/j.joms.2020.04.025
Shetawi AH. Initial evaluation and management of maxillofacial injuries. 2021. Available from: https://emedicine.medscape.com/article/434875
Eshiev A, Mirzasheva N. The results and main directions of improving the activity of the maxillofacial surgery department at oiuch. Bull Osh State Univ 2022;2:41-7. DOI: https://doi.org/10.52754/16947452_2022_2_41
Tsoi AR, Yuldashev IM. Patent of the Kyrgyz Republic for the invention No. 2082/07.31.2018. The method of forming endoscopic space in maxillofacial surgery and endolift for its implementation. 2018. Available from: https://drive.google.com/file/d/1USKB1Th9YhYzN8z9ytKWzGfnwZx_xIsZ/view
Kim JY, Lee YC, Kim SG, Garagiola U. Advancements in oral maxillofacial surgery: A comprehensive review on 3D printing and virtual surgical planning. Appl Sci 2023;13:9907. DOI: https://doi.org/10.3390/app13179907
Choi H, Cho GJ, Jung KH, et al. The dual-port endoscope-assisted cyst enucleation on the maxillofacial region. Maxillofac Plast Reconstr Surg 2021;43:40. DOI: https://doi.org/10.1186/s40902-021-00327-1
Nowak R, Rekas M, Ali MJ. Long-term outcomes of StopLoss™ Jones tube (SLJT) and minimally invasive conjunctivodacryocystorhinostomy. Graefes Arch Clin Exper Ophthalmol 2022;260:327-33. DOI: https://doi.org/10.1007/s00417-021-05347-1
Makarov V, Yessentayeva S, Kadyrbayeva R, et al. Modifications to the video-assisted thoracoscopic surgery technique reduce 1-year mortality and postoperative complications in intrathoracic tumors. Eur J Cancer Prev 2024;33:53-61. DOI: https://doi.org/10.1097/CEJ.0000000000000825
Harvinder B, Ben H. Learning curve for minimally invasive surgery and how to minimize it. Foot Ankle Clin 2020;25:361-71. DOI: https://doi.org/10.1016/j.fcl.2020.05.002
Ceresoli M, Pisano M, Abu-Zidan F, et al. Minimally invasive surgery in emergency surgery: A WSES survey. World J Emerg Surg 2022;17:18. DOI: https://doi.org/10.1186/s13017-022-00419-x
Nural H. Vertical space lift: transcutaneous lower blepharoplasty, subperiosteal midface lift, and lower face lift: a novel technique of buccal fat suspension to medial infraorbital rim. Aesthet Surg J Open Forum 2021;4:ojab038. DOI: https://doi.org/10.1093/asjof/ojab038
Wang Y, Ma D, Li Y, et al. Combined use of endoscopic techniques and virtual surgical planning for intraoral approach for hemi-mandibular resection and reconstruction. Plast Reconstr Surg Glob Open 2024;12:e5644. DOI: https://doi.org/10.1097/GOX.0000000000005644
Oshurko AP, Oliinyk IY, Kuzniak NB. Anatomical and topographic classification of the mandibular canal with bone atrophy caused by the loss of the masticatory teeth. Rom J Stomatol 2022;68:160-6. DOI: https://doi.org/10.37897/RJS.2022.4.1
Latka D, Waligora M, Latka K, et al. Virtual reality based simulators for neurosurgeons - what we have and what we hope to have in the nearest future. Adv Intell Syst Comp 2018;720:1-10. DOI: https://doi.org/10.1007/978-3-319-75025-5_1
Fanelli CA, Vera LC, Ahn DY, McCain JP. A review of endoscopic surgical applications in oral and maxillofacial surgery. Plast Reconstr Surg Glob Open 2023;5. DOI: https://doi.org/10.21037/fomm-21-12
Yuldashev I, Rakhmanov A, Urgunaliev B, et al. Frequency of midfacial traumatic injuries – A report from the maxillofacial reconstructive and plastic surgery department of Kyrgyz Republic health service Ministry’s National Hospital, Bishkek from 2013-17 – A retrospective study. Ann Maxillofac Surg 2020;10:377-80. DOI: https://doi.org/10.4103/ams.ams_2_20
Pendharkar SS. Endoscopic perspective in oral and maxillofacial surgery. RGUHS J Dent Sci 2023;15:12-6. DOI: https://doi.org/10.26463/rjds.15_1_20
Abdulrahman A. Minimally invasive approaches in orthognathic surgery: A narrative review of contemporary techniques and their clinical outcomes. J Pharm Bioallied Sci 2024;16:1652-6. DOI: https://doi.org/10.4103/jpbs.jpbs_1226_23
Cavalcanti SC, Taufer B, Rodrigues A, Luz JG. Endoscopic surgery versus open reduction treatment of mandibular condyle fractures: A meta-analysis. J Craniofac Surg 2021;49:749-57. DOI: https://doi.org/10.1016/j.jcms.2021.02.019
Boccuto M, Ottaviano G, Prosenikliev V, et al. Combined endoscopic and intraoral approach or intraoral alone in surgical management of odontogenic sinusitis. Surgeries 2021;2:399-408. DOI: https://doi.org/10.3390/surgeries2040040
Romano A, Norino G, Dell’Aversana Orabona G, et al. A large follicular dentigerous cyst: A new multi-portal access: Intraoral and endoscopic technique. J Maxillofac Oral Surg 2024;23:189-92. DOI: https://doi.org/10.1007/s12663-023-01885-9
Sheinman V, Rudnitsky A, Toichuev R, et al. Implantable photonic devices for improved medical treatments. J Biomed Opt 2014;19:108001. DOI: https://doi.org/10.1117/1.JBO.19.10.108001
Perkasa MF. Endoscopic transsphenoidal surgery and Haddad nasoseptal flap of Rathke’s cleft cysts. Gac Med Caracas 2023;131:414-9. DOI: https://doi.org/10.47307/GMC.2023.131.2.18
Bothra N, Gupta N, Nowak R, et al. The use of anterograde percutaneous transluminal coronary angioplasty balloons in congenital nasolacrimal duct obstruction: a cost-effective alternative to the traditional dacryoplasty balloons. Ophthalmic Plast Reconstr Surg 2020;36:302-4. DOI: https://doi.org/10.1097/IOP.0000000000001558
Alkhayatt NM, Alzahrani HH, Ahmed S, et al. Computer-assisted navigation in oral and maxillofacial surgery: A systematic review. Saudi Dent J 2024;36:387-94. DOI: https://doi.org/10.1016/j.sdentj.2023.12.002
Ren H, Chen S, Zhang Y, An J, He Y. Intraoperative computed tomography in the surgical treatment of zygomatic complex fracture: a retrospective cohort study. J Craniofac Surg. 2024 May 7. doi: 10.1097/SCS.0000000000010201. Epub ahead of print. DOI: https://doi.org/10.1097/SCS.0000000000010201
Le Louarn C. Concentric malar lift in the management of lower eyelid rejuvenation or retraction: A clinical retrospective study on 342 cases, 13 years after the first publication. Aesthet Plast Surg 2018;42:725-42. DOI: https://doi.org/10.1007/s00266-018-1079-0
Oshurko AP, Oliinyk IY, Kuzniak NB. Variant anatomy of the mandibular canal topography. Rep Morphol 2022;28:62-8. DOI: https://doi.org/10.31393/morphology-journal-2022-28(2)-09
Anehosur V, Joshi A, Rajendiran S. Endoscopic-assisted intraoral open reduction internal fixation of mandibular subcondylar fractures: Initial experiences from a tertiary-care maxillofacial center in India. Cranio Maxillofac Trauma Reconstr 2018;11:183-91. DOI: https://doi.org/10.1055/s-0037-1603457
Chasan PE, Hauch AT. The K-wire fixation technique for endoscopic brow lift: A long-term follow-up. Aesthet Plast Surg 2020;40:1051-60. DOI: https://doi.org/10.1093/asj/sjz215
Wong KY, Mole R, Gillespie P. Kirschner wire breakage during removal, requiring retrieval. Case Rep Surg 2016;2016:7515760. DOI: https://doi.org/10.1155/2016/7515760
Sukegawa S, Miyazaki R, Matsuki Y, et al. Endoscopic-assisted surgical removal of infected interosseous wires 40 years after mandibular surgery. J Craniofac Surg 2023;34:1556-8. DOI: https://doi.org/10.1097/SCS.0000000000009352
Procacci P, Lanaro L, Molteni G, et al. Trans-nasal endoscopic and intra-oral combined approach for odontogenic cysts. ACTA Otorhinolaryngol Ital 2018;38:439-44. DOI: https://doi.org/10.14639/0392-100X-1915
Costantino A, Sampieri C, Meliante PG, et al. Transoral robotic surgery in oropharyngeal squamous cell carcinoma: A comparative study between da Vinci Single-Port and da Vinci Xi systems. Oral Oncol 2024;148:106629. DOI: https://doi.org/10.1016/j.oraloncology.2023.106629

How to Cite

Tsoi, A., Eshiev, A., Kurmanbekov, N., Eshiev, D., & Myrzasheva, N. (2024). Improvement of the method of diagnostics and treatment of injuries and diseases of the maxillofacial region. Healthcare in Low-Resource Settings. https://doi.org/10.4081/hls.2024.12843