Piezoelectric Condylectomy Through Transoral Endoscopic Approach: A Cadaveric Study

Area of Science:

• Oral and Maxillofacial Surgery
• Minimally Invasive Surgical Techniques
• Piezosurgery Applications

Background:

• Surgical treatment for temporomandibular joint (TMJ) pathologies remains a subject of extensive discussion in medical literature.
• Conventional surgical approaches may involve significant invasiveness and potential complications.

Purpose of the Study:

• To present and evaluate a novel surgical approach for TMJ pathologies.
• To demonstrate the feasibility of an intraoral access technique combined with advanced surgical tools.

Main Methods:

• A new surgical method employing intraoral access was developed.
• Endoscopic magnification was utilized for enhanced visualization during the procedure.
• Piezosurgery with a specialized long-angled tip (MT5-10 L) was employed for precise bone cutting.
• The technique was applied to perform an endoscopically assisted condylectomy.

Main Results:

• The described technique allows for condylectomy via an intraoral approach.
• Integration of endoscopic magnification and piezosurgery facilitates precise surgical execution.
• This method represents a potentially less invasive alternative for TMJ surgery.

Conclusions:

• The proposed surgical approach offers a viable minimally invasive option for TMJ pathologies.
• Endoscopic magnification and piezosurgery are effective adjuncts for intraoral condylectomy.
• Further studies are warranted to assess long-term outcomes and compare with existing methods.