Objective
The recent trend favors the open reduction and internal fixation of condylar fractures
to prevent long-term consequences. Nonendoscopic intraoral approach is an option for
management without a visible scar. The purpose of this systematic review was to explore
the evidence, armamentarium, methods of reduction and fixation, challenges, and complications.
Study Design
We have systematically reviewed published articles on the intraoral approach for condylar
fracture management following the Preferred Reporting Items for Systematic Reviews
and Meta-Analyses guidelines. The search was conducted in PubMed, Google Scholar,
Semantic Scholar, and Cochrane library database, to find relevant articles from January
1980 to March 2022. Descriptive statistics were applied to obtain the results.
Results
Finally, 23 studies were included. The incision described for the intraoral approach
was similar to sagittal split osteotomy in all studies. A wide array of specialized
instruments, methods, and challenges has been outlined for visualization, reduction,
and fixation. The incidence of complications in the entire review was 23% (72/306).
Conclusion
The challenges encountered in the nonendoscopic intraoral approach for condylar fracture
management can be negated with the use of specialized instruments and with experience.
However, further research is warranted for a specialized set of miniature instruments
to ease the procedure, make it time-efficient and optimize hardware selection.
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Article info
Publication history
Published online: September 08, 2022
Accepted:
September 1,
2022
Received in revised form:
August 4,
2022
Received:
June 8,
2022
Footnotes
Ragavi Alagarsamy and Babu Lal are the co-first authors and contributed equally.
Identification
Copyright
© 2022 Elsevier Inc. All rights reserved.
