Massachusetts General Hospital : Skeletal Biology Research Center
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Minimally invasive surgery
The success of minimally invasive surgical techniques across multiple specialties has challenged oral and maxillofacial surgeons to develop ways in which to replace maximally invasive, open procedures with those that offer less morbidity, shorter lengths of stay, and fewer post-surgical complications for the same functional and aesthetic result. The SBRC has been active in describing, developing and refining minimally invasive approaches in OMFS. Beginning with a minipig model, Mass General was first to describe an extraoral minimally invasive approach to the mandibular ramus/condyle unit. In 2001 we followed-up our animal models by reporting the first clinical series of patients to undergo endoscopic reconstruction of the mandible. We have since completed two retrospective studies reporting endoscopic mandibular osteotomies and endoscopic mandibular condylectomy and costochondral grafts, procedures which were first developed at Mass General. In addition to refining these procedures and doing patient oriented research to document outcomes, we are also testing and evaluating new procedures using animal models. Specifically, we have been able to demonstrate a significant reduction in swelling with endoscopic reconstruction. The minimally invasive surgery program is under the direction of Dr. Maria Troulis. The department maintains a laboratory for minimally invasive OMS research, a comprehensive learning center, and conducts a bi-annual international workshop. BibliographyPapadaki ME, McCain JP, Kim K, Katz RL, Kaban LB, Troulis MJ. Interventional sialoendoscopy: early clinical results. J Oral Maxillofac Surg 2008; 66(5):954-62. Troulis MJ, Ramirez JL, Kaban LB. Endoscopic approach for mandibular orthognathic surgery. Facial Plastic Surgery Clinics of North America 2006;14(1):45-50. Troulis MJ, Kaban LB. Endoscopic vertical ramus osteotomy: Early clinical results. J Oral Maxillofac Surg 2004;62:824-828. Troulis MJ, Williams WB, Kaban LB: Endoscopic mandibular condylectomy and reconstruction: Early clinical results. J Oral Maxillofac Surg 2004;62:460-465. Troulis MJ. Endoscopic open reduction and internal rigid fixation of subcondylar fractures. J Oral Maxillofac Surg 2004;33:569-574. Troulis MJ, Nahlieli O, Castano F, Kaban LB. Minimally invasive orthognathic surgery: endoscopic vertical ramus osteotomy. Int J Oral Maxillofac Surg 2000;29(4):239-42. |
“Minimally invasive surgery may revolutionize the practice of OMS, and Mass General OMS innovators are and will remain at the cutting edge of these developments.” Contact Us: Skeletal Biology |