Abstract
Standard treatment of mandibular angle fracture with miniplates according to recommendations of Champy et al. (1976) consists of fixation with one miniplate at superior border of mandible ventral to external oblique line. In certain constellations, second miniplate at lower border may provide additional stability. In this retrospective study 80 patients with mandibular angle fracture were divided into 3 sub-groups reported at DIRDS Faridkot were treated by intraoral, extraoral and combined intraoral and transbuccal approach. There was no significant difference in complication rates encountered with these techniques. Decision regarding treatment approaches for open reduction of mandible fracture often relates to surgeon’s experience and training. In some cases, choice is affected by availability of equipment. More difficult cases involving endentulous atrophic mandible or comminution should be considered for extraoral approach. Intraoral open reduction and fixation was used for non-comminuted and non-complicated fractures. The combined transbuccal/Intraoral procedure is now preferred method because of ease of use and facilitation of placement of plate in neutral mid point area of mandible.
Similar content being viewed by others
References
Schierle HP et al (1997) One or two plate fixation of mandibular angle fractures? Journal of Craniomaxillofac Surg 25:162–168
Ellis E III (1999) Treatment method for fracture of the mandible angle. Int J Oral Maxillofac Surg 28:243
Champy M, Lodde JH, Must D (1978) Mandibular osteosynthesis with miniaturized screwed plates via buccal approach. J Maxillofac Surg 6:14
Michelet FX, Deynos I, Dessus B (1973) Osteosynthesis with miniaturized screwed plate in Maxillofacial Surgery. J Maxillofac Surg 1:79
Choi BH, Kim KN, Kang HS (1995) Clinical & in vitro evaluation of mandibular angle fracture fixation with two miniplate system. Oral Surg 79:692
Toma VS, Mathog HR, Toma SR, Meleca JR (2003) Transoral versus extraoral reduction of mandible fractures: a comparison of complication rates and other factors. Otolaryngol Head Neck Surg 128(2):215–219
Sugar AW, Gibbons AJ, Patton DW, Silvester KC, Hodder Sc, Gray M, Snooks H, Watkins A (2009) A randomised controlled trial comparing fixation of mandibular angle with a single miniplate placed either transbuccaly and intraorally, or intraorally alone. Int J Oral Maxillofac Surg 38:241–245
Shetty V, Frey Miller E (1989) Teeth in line of fracture. A review. J Oral Maxillofac Surg 47:1303
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Kumar, S., Prabhakar, V., Rao, K. et al. A Comparative Review of Treatment of 80 Mandibular Angle Fracture Fixation with Miniplates Using Three Different Techniques. Indian J Otolaryngol Head Neck Surg 63, 190–192 (2011). https://doi.org/10.1007/s12070-011-0236-4
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s12070-011-0236-4