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Intraoral approach to condyle

Vestibular incision

Principles

Vestibular incisions
The vestibular incision can be used for standard fracture fixation techniques or in conjunction with endoscopically assisted surgical techniques.

The ramus and condyle region can be exposed via an intraoral approach by extending the standard vestibular incision in a superior direction up the ascending ramus. The incision can be altered depending on the area of the ramus/condylar process that needs exposure and treatment.

Oral contamination is not a contraindication for an intraoral incision.

Restricted access and contamination
In complex fractures including comminuted and avulsive fractures that require the placement of load-bearing reconstruction plates, a transfacial/extraoral approach can provide better access to treat the injury.