Related Experiment Video
Updated: Jul 1, 2026
04:41
Treatment with Locking Intramedullary Nailing for Intertrochanteric Fracture of the Femur Utilizing a New Awl with a Distal Positioner
Published on: June 6, 2025
Treatment of Base of Condyle Fracture Using Minimal Access Surgery: Infinitesimal Peri-Angular Pterygomasseteric
M Iqbal1, M U Azeez, F Ferdousi
1Dr Mausumi Iqbal, Consultant, Maxillofacial Surgeon, Tooth Care, Shyamoli, Dhaka, Bangladesh;
Mymensingh Medical Journal : MMJ
|June 30, 2026
Summary
This study highlights the successful treatment of a complex mandible fracture using the intraoral vestibular technique and the intraoral percutaneous plate fixation (IPPTA) method. These minimally invasive approaches improved patient recovery and aesthetics.
Area of Science:
- Oral and Maxillofacial Surgery
- Trauma Surgery
- Orthognathic Surgery
Background:
- Mandible fractures are common maxillofacial injuries, with condyle fractures requiring precise reduction and fixation due to adjacent anatomical structures.
- Minimally invasive techniques offer advantages in managing complex fractures, potentially reducing recovery time and improving aesthetic outcomes.
Purpose of the Study:
- To present a case study on the successful surgical management of a unilateral base of condyle fracture and a left parasymphysis mandible fracture.
- To evaluate the efficacy of the intraoral percutaneous plate fixation (IPPTA) and intraoral vestibular technique in treating complex mandible fractures, particularly when patient aesthetics are a concern.
Main Methods:
- A 20-year-old male patient with a unilateral base of condyle fracture and left parasymphysis fracture, sustained from a road traffic accident, was treated.
- Surgical intervention involved the intraoral vestibular technique for the parasymphysis fracture and IPPTA for the base of the condyle fracture.
- The choice of minimally invasive techniques was influenced by the patient's concern for aesthetic recovery.
Main Results:
- The patient presented with an inability to close his mouth properly, diagnosed via orthopantomogram.
- Successful surgical reduction and fixation of both the condyle and parasymphysis fractures were achieved using the selected minimally invasive approaches.
- The patient's aesthetic concerns were addressed, and postoperative recovery involving mastication and fixation duration was managed effectively.
Conclusions:
- Minimally invasive surgical procedures, such as IPPTA and the intraoral vestibular technique, are effective for treating complex mandible fractures, including condyle and parasymphysis fractures.
- These techniques can lead to improved postoperative recovery, reduced duration of maxillo-mandibular fixation, and better aesthetic results, addressing patient concerns.
- The management of mandible fractures requires careful consideration of anatomical complexity and patient-specific factors, including aesthetic expectations.
