Endoscopic-Assisted Open Reduction and Internal Fixation (EAORIF) for Condylar Fracture

Abstract

The endoscopic-assisted approach for the treatment of condylar fracture are a less invasive alternative and overcomes the limited access to the operation field to obtain an accurate reduction and fixation. Nine condylar fracture patients underwent the endoscopic-assisted open reduction and internal fixation through the transoral approach at the department of oral and maxillofacial surgery, Seoul National University Dental Hospital. The endoscope was inserted through an intraoral incision and the reduction of fracture fragment was performed via a transbuccal approach with two transcutaneous stab incisions. Five patients showed anatomic reduction without any complications. Three patients, whose fracture site was fixed with a single plate, showed fratured condylar segment displacement during the follow-up period and one of them resulted in postoperative malocclusion. No patient had any facial nerve damage.