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A Postoperative Evaluation Guideline for Computer-Assisted Reconstruction of the Mandible
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Novel Endoscopic-Assisted Long Plate Approach for Mandibular Condylar Fracture Reconstruction-A Preliminary Study.

Chao-Hsin Huang1, Chia-Chen Lee1, Yi-Chia Wu1,2,3

  • 1Division of Plastic Surgery, Department of Surgery, Kaohsiung Medical University Hospital, Kaohsiung Medical University, Kaohsiung, Taiwan.

The Kaohsiung Journal of Medical Sciences
|May 19, 2025
PubMed
Summary

A novel Long Plate Technique for mandibular condylar fractures offers a secure and efficient surgical option. This method aids surgeons by reducing operative stress in complex cases.

Keywords:
endoscopicsubcondylarsurgery

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Area of Science:

  • Oral and Maxillofacial Surgery
  • Orthopedic Surgery
  • Biomedical Engineering

Background:

  • Mandibular condylar fractures can cause facial asymmetry, malocclusion, and temporomandibular joint instability.
  • Endoscopic-assisted reduction techniques aim to mitigate these risks but face challenges due to confined workspaces, especially with unstable fractures.
  • Existing methods struggle with the manipulation of plates and screws in limited surgical fields.

Purpose of the Study:

  • To introduce and evaluate a novel surgical technique for mandibular condylar fracture fixation using a long plate.
  • To assess the efficacy and security of the Long Plate Technique in managing condylar fractures.
  • To determine if the new technique reduces surgeon stress during operations.

Main Methods:

  • Development of the "Long Plate Technique" utilizing a long plate stabilized via a submandibular incision.
  • Screws are inserted through a trocar from a tragus incision to fix the titanium plate to the superior condylar segment.
  • A study involving 98 patients treated with various methods, including the novel long plate technique.

Main Results:

  • The overall average operation time for all patients was 365 minutes.
  • Group B (short plate open reduction) averaged 429 minutes, while Group C (long plate open reduction) averaged 413 minutes.
  • The Long Plate Technique demonstrated a secure and efficient approach, potentially reducing surgeon stress.

Conclusions:

  • The Long Plate Technique provides a viable and secure method for mandibular condylar fracture fixation.
  • This technique addresses the challenges of limited working space in endoscopic procedures.
  • The Long Plate Technique offers an efficient surgical solution that can decrease surgeon strain.