Case report, case study
https://doi.org/10.15644/asc59/1/8
Novel Transoral Endoscopic Assisted Minimally Invasive Method for Mandibular Condyle Fractures in Croatia: A Case Presentation and Literature Review
Igor Čvrljević
; Department of Maxillofacial and Oral Surgery, Dubrava University Hospital, Zagreb, Croatia; University of Zagreb School of Medicine, Zagreb, Croatia
Marko Tarle
; Department of Maxillofacial and Oral Surgery, Dubrava University Hospital, Zagreb, Croatia; University of Zagreb School of Medicine, Zagreb, Croatia
Ivica Lukšić
orcid.org/0000-0002-9138-2037
; Department of Maxillofacial and Oral Surgery, Dubrava University Hospital, Zagreb, Croatia; University of Zagreb School of Medicine, Zagreb, Croatia
*
* Corresponding author.
Abstract
Mandibular fractures, particularly condylar process fractures, are common in maxillofacial surgery and require effective treatment methods that minimize complications while ensuring functional and esthetic recovery. Objectives: This paper presents two cases of mandibular condylar process fractures treated using a transoral endoscopically assisted technique (EATA), thus marking the first documented application of this approach in Croatia. The aim was to evaluate the efficacy of this minimally invasive method compared to traditional extraoral approaches, which often carry risks such as visible
scarring, facial nerve injury, and prolonged postoperative recovery. Methods: A 30° rigid endoscope and specialized angled instruments were utilized in both cases to achieve precise visualization, reduction, and fixation of the fractures. The first case involved a young male with a double mandibular
fracture, while the second case addressed an isolated condylar fracture in an older female with comorbidities. Results: Both patients were successfully treated without complications, including facial nerve injury, hematomas, or salivary fistulas. Hospitalization periods were shorter compared to traditional approaches, and recovery included restored temporomandibular joint function (TMJ), stable occlusion, and the absence of visible scars. The EATA method proved to be safe and effective, offering numerous advantages such as reduced morbidity, minimal soft tissue trauma, and superior aesthetic outcomes. Despite requiring specialized equipment and additional surgical training, EATA has
significant potential to become a standard treatment modality for mandibular fractures. Conclusion: The findings of this study contribute to the growing body of evidence supporting the clinical benefits of this minimally invasive technique.
Keywords
Mandibular Fractures; Mandibular Condyle; Minimally Invasive Surgical Procedures; Endoscopy; condylar process; endoscopically assisted surgery; transoral approach
Hrčak ID:
329452
URI
Publication date:
28.3.2025.
Visits: 903 *