Introduction: Application of endoscopes in otolaryngology continues to expand, and recently being used in the field of maxillofacial trauma including orbital trauma, frontal sinus, arch, angle and subcondylar fractures have previously been described in literature. The purpose of this study was to assess the efficacy of endoscopic approach in medially displaced condylar fractures.

Methods and Findings: A prospective case study was done on 17 patients, study followed the Declaration of Helsinki on medical protocol and ethics and was approved by the regional Ethical Review Board of our hospital after all participants signed an informed consent agreement. 4 mm 30 degree endoscope (karl storz) was used to locate medially displaced condyle with transosseous wiring at angle region (in 2cases). statistical analysis by student t test,50% reduction in operating time was noted. Mean Maximal mouth opening (MMO) was noted on post op 7th day and on last follow up.

Result: Post op 7th day Mean MMO = 31.18 mm with Standard Deviation (SD) = 5.76 & coefficient of variation = 0.18 and on last follow up Mean MMO = 41 mm with SD = 1.67 and coefficient of variation = .04 The mandibular movements like protrusion, retrusion and lateral excursion were satisfactory. 4 patients turned with wound dehiscence, temporary facial nerve palsy and soft tissue abscess which were managed by antibiotics and incisional drainage.

Conclusion: Based on our experience, endoscopes use is challenging, but worthwhile. It can be concluded that combination technique with endoscope gives significant results with reduced operating time, MMO and minimal/no complications.

Keywords: Condyle, Endoscope, Medially Displaced, Extracorporeal, Facial, Fractures.

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Dr Gaurang Thanvi

Department of Oral and Maxillofacial Surgery, Mahatma Gandhi Dental College and Hospital, RIICO Industrial area, Sitapura, Jaipur, Rajasthan