New Minimally Invasive Intraoral Procedure for Condylar Fractures: Clinical Presentation and Considerations on...

Area of Science:

• Oral and Maxillofacial Surgery
• Trauma Surgery
• Surgical Innovation

Background:

• Mandibular fractures are common maxillofacial injuries.
• Surgical approaches for condylar fractures remain a subject of debate.
• Standard open reduction and internal fixation may be contraindicated in complex trauma cases.

Purpose of the Study:

• To describe a novel mini-invasive surgical technique for mandibular condylar fracture reduction.
• To present a case where standard techniques were contraindicated due to associated injuries.
• To evaluate the safety, efficacy, and patient outcomes of this minimally invasive approach.

Main Methods:

• The technique utilizes intraoral access for fracture reduction.
• Instruments include a periosteal elevator, molar occlusal splint, and intermaxillary fixation.
• Intraoperative radiologic imaging confirms repositioning of the condyle.

Main Results:

• The minimally invasive technique avoids skin incisions and extensive tissue dissection.
• Good aesthetic outcomes and preservation of the facial nerve were achieved.
• The procedure was safe, simple, less demanding, and resulted in a shorter recovery time.

Conclusions:

• This mini-invasive technique is a viable option for treating condylar neck fractures.
• It offers favorable outcomes, including primary stability and good rim morphology.
• The approach is well-suited for patients with contraindications to traditional open surgery.