COMPARISON OF INTERNAL FIXATION METHODS AND MINIMAL INVASIVE SURGICAL APPROACHES IN THE TREATMENT OF MANDIBULAR FRACTURES

Year 2025, Volume: 49 Issue: 1, 11 - 18, 24.04.2025

Utku Nezih Yılmaz , Fatma Eriş Derkuş , Belgin Gülsün , Can Sezgin Berivan Yılmaz

https://izlik.org/JA98GH23UZ

Abstract

Background and Aim: Mandibular fractures are one of the
most common fracture types in the maxillofacial region, with
condylar and angular fractures being particularly prevalent. In
recent years, endoscopic approaches, have become increasingly
widespread as alternatives to traditional internal fixation
methods, in the treatment of maxillofacial traumas. The
endoscopic treatment of mandibular fractures is a minimally
invasive technique. The aim of this study is to evaluate and
compare the clinical and radiological outcomes of endoscopyassisted
open reduction and internal fixation (EAORIF) and
conventional open reduction and internal fixation (ORIF) in the
treatment of mandibular fractures.
Materials and Methods: In this study, 18 patients
diagnosed with mandibular fractures were randomly divided
into two groups. Nine patients underwent EAORIF, while the
remaining patients underwent ORIF under general anesthesia.
Postoperative evaluations were conducted clinically and
radiologically to assess the advantages and disadvantages of
both techniques.
Results: No significant difference was found in both methods
in terms of age, time between trauma and operation, and
hospital stay (p>0.05). However, the surgical duration was
longer in the EAORIF group (p<0.05). No significant differences
were observed between the two groups in terms of occlusion
stability and fracture healing (p>0.05).
Conclusion: These findings suggest that EAORIF is an
effective minimally invasive alternative to conventional ORIF,
offering improved postoperative recovery despite its technical
complexity.

Keywords

Condylar Fractures , Endoscopic Approach , Internal Fixation , Mandible Fractures , Minimally Invasive

Ethical Statement

Ethics committee approval was received from Dicle University Faculty of Dentistry Local Ethics Committee, dated 24.06.2020 and with protocol number 2020-26.

Supporting Institution

This research was supported by Dicle University Scientific Research Projects Coordination Office with project number DİŞ.20.022.

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