Skip to main content

Advertisement

SpringerLink
Log in

Management of Sub-Condylar and Angle of Mandible Fracture by a Trans-Buccal Trocar Along With an Intra-Oral Approach

  • Other Articles
  • Published:
Indian Journal of Otolaryngology and Head & Neck Surgery Aims and scope Submit manuscript

Abstract

To evaluate the management of sub-condylar and angle of mandible fracture by a trans-buccal trocar along with an intra-oral approach. Study parameters included were assessment of adequacy of anatomical repositioning, fixation and stability of fracture site by radiographs, pre and post – operative occlusion by photographs. Evaluation of anatomical repositioning was done with fracture gap measurement on orthopantomogram after 6 months by applying paired student’s T test. In mandibular angle fracture, pre- operatively, the mean of anatomical repositioning fracture gap measurement on orthopantomogram was 4.06 mm with a standard deviation of 1.42 mm and 6 months post-operatively, the mean was 0.5 mm with a standard deviation of 0.32 mm. The P value was < 0.00001, which shows a very high significant. In sub-condylar fractures, pre- operatively, the mean of anatomical repositioning fracture gap measurement on orthopantomogram was 6.77 mm with a standard deviation of 3.54 mm and 6 months post-operatively, the mean was 1.57 mm with a standard deviation of 2.37 mm. As the sample size was small, P value could not be calculated. The use of the trans-buccal trocar provides adequate anatomical repositioning, fixation, stability, occlusion and good accessibility during placement of plate and screws.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1
Fig. 2
Fig. 3

Similar content being viewed by others

References

  1. Saito DM, Murr AH (2008) Internal fixation of mandibular angle fractures with the Champy technique. Oper Techn Otolaryng Head Neck Surg 19(2):123–706

    Article  Google Scholar 

  2. Sehgal S, Ramanujam L, Prasad K, Krishnappa R (2014) Three-dimensional v/s standard titanium miniplate fixation in the management of mandibular fractures: a clinical study. J Cranio Max Fac Surg 42(7):1292–1299. https://doi.org/10.1016/j.jcms.2014.03.012

    Article  Google Scholar 

  3. Jensen T, Jensen J, Norbolt SE, Dahl M, Svensson LLHP (2006) Open Reduction and rigid internal fixation of mandibular condylar fractures by an intraoral approach: A long –term study follow-up study of 15 patients. J Oral Maxillo Fac Surg 64:1771–1779

    Article  Google Scholar 

  4. You HJ, Moon KC, Yoon BI, Park SH (2016) Clinical and radiological outcomes of transoral endoscope-assisted treatment of mandibular condylar fractures. Int J Oral Maxillo Fac Surg 45:284–291

    Article  Google Scholar 

  5. Toma VS, Mathog RH, Toma RS, Meleca RJ (2003) Transoral versus extraoral reduction of mandible fractures: a comparison rates and other factors. Otolaryngol Head Neck Surg 128:215–219

    Article  Google Scholar 

  6. Dierks EJ, Dallas (1987) Transoral approach to fractures of mandible. Laryngoscope. https://doi.org/10.1288/00005537-198701000-00002

  7. Beza SA, Attia S, Ellis E, Omara L (2016) A comparative study of transbuccal and extraoral approaches in the management of Mandibular angle fractures: a systemic review. Open Access J Med Sci 4(3):482–488.

    Article  Google Scholar 

  8. Jeter TS, Sickels JV, Gary J, Nishioka (1987) Intraoral open reduction with rigid internal fixation of mandibular subcondylar fractures. J Oral Maxillo Fac Surg 46:1113–1116

    Article  Google Scholar 

  9. Wakuloba G, Mahallawy A, Ragab H (2015) Evaluation of dynamic compression miniplates in treatment of mandibular angle fractures using trocar. Alexandria Dent J 40:86–93

    Article  Google Scholar 

  10. Schaaf H, Kaubruegge S, Streckbein P, Wilbrand JF, Kerkmann H, Howaldt HP (2011) Comparison of miniplate versus lag-screw osteosynthesis for fractures of the mandibular angle. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 111:34–40

    Article  Google Scholar 

  11. Wan K, Williamson RA, Gebauer D, Hird K (2012) Open reduction and internal fixation of mandibular angle fractures: does the transbuccal technique produce fewer complications after treatment than the transoraltechnique. J Oral Maxillo Fac Surg 70:2620–2628.

    Article  Google Scholar 

  12. Malhotra A, Borle R, Bhola N, Mundada B (2014) Comparison of post operative outcomes in mandibular condylar fractures treated with single versus double non-compression mini plates. IOSR J Dent Med Sci 13(10):89–93

    Article  Google Scholar 

  13. Choi BH, Yi CK, Yoo JH (2001) Clinical evaluation of 3 types of plate osteosynthesis for fixation of condylar neck fractures. J Oral Maxillo Fac Surg 59:734–737.

    Article  CAS  Google Scholar 

  14. Uglesic V, Virag M, Aljinovic N, Macan D (1993) Evaluation of mandibular fracture treatment. J Cranio Maxillofacial Surg 21:251–257

    Article  CAS  Google Scholar 

  15. Kumar GBA, Dhupar V, Akkara F, Kumar SP (2015) Patterns of maxillofacial fractures in Goa. J Maxillofac Oral Surg 14(2):138–141

    Article  Google Scholar 

  16. Venugopal MGM, Sinha R, Menon PS, Chattopadhyay PK, Chowdhury SKR (2010) Fractures in the maxillofacial region: a four year retrospective study. MJAFI 66:14–17

    CAS  Google Scholar 

  17. Vyas A, Mazumdar U, Khan F, Mehra M, Parihar L, Purohit C (2014) A study of mandibular fractures over a 5-year period of time: a retrospective study. Contemporary Clin Dent 5(4):452–455.

    Article  Google Scholar 

  18. Natu SS, Pradhan H, Gupta H, Alam S, Gupta S, Pradhan R et al (2012) An epidemiological study on pattern and incidence of mandibular fractures. Plast Surg Int. https://doi.org/10.1155/2012/834364.

  19. Rai A (2012) A comparison of single versus double noncompression miniplates in the management of subcondylar fracture of the mandible. Ann Maxillo Fac Surg 2(2):141–145.

    Article  Google Scholar 

  20. Spiessl B, Schroll K. Gelenkfortsatz- und Gelenkkoepfchenfrakturen. In: Nigst H, editor SpezielleFrakturen- und Luxationslehre Bd. I/I. Stuttgart, Germany: Thieme. 1972.

  21. Santler G, Kiircher H, Ruda FC (1999) KGle E: Fractures of the condylar surgical versus nonsurgical. J Oral Maxillofac Surg 57:392–397

    Article  CAS  Google Scholar 

  22. Murr AH (2005) Mandibular angle fractures and noncompression plating techniques. Arch Otolaryngol Head Neck Surg 131:166–168

    Article  Google Scholar 

  23. Ellis E 3rd, Ghali GE (1991) Lag screw fixation of mandibular angle fractures. J Oral Maxillo Fac Surg 49:234–243

    Article  Google Scholar 

  24. Claes L, Eckert-Hubner K, Augat P (2003) The fracture gap size influences the local vascularization and tissue differentiation in callus healing. Langenbecks Arch Surg 388(5):316–322

    Article  Google Scholar 

  25. Kurtadikar K, Singhvi N, Shetty JN, Shetty O, Islam M et al (2015) Evaluation of mechanical resistance after fixation of mandibular condylar fracture with single and double miniplates: a comparative in vitro study. J Maxillo Fac Oral Surg 14(2):441–447.

    Article  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department Of OMFS, Al Badar Rural Dental College & Hospital, Kalaburagi, India

    Deepti Krishnan Kutty, Neelakamal Hallur, Aaisha Siddiqa, Syed Zakaullah & Chaitanya Kothari

Authors
  1. Deepti Krishnan Kutty
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Neelakamal Hallur
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Aaisha Siddiqa
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Syed Zakaullah
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. Chaitanya Kothari
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Deepti Krishnan Kutty.

Additional information

Publisher's Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Krishnan Kutty, D., Hallur, N., Siddiqa, A. et al. Management of Sub-Condylar and Angle of Mandible Fracture by a Trans-Buccal Trocar Along With an Intra-Oral Approach. Indian J Otolaryngol Head Neck Surg 72, 538–544 (2020). https://doi.org/10.1007/s12070-020-02058-7

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s12070-020-02058-7

Keywords

Search

Navigation