Abstract
Aim
This study aims to evaluate the clinical outcomes of treatment of mandibular angle fractures using 3D rectangular grid plate.
Materials and Methods
A total of 10 patients with mandibular angle fractures with or without associated facial fractures requiring open reduction and internal fixation were included in the study. Fixation was done using 3D rectangular grid plate.
Results
The mean age of the patients in the study is 34.7 years. In all the cases, fracture was adequately reduced (100%) intraoperatively and confirmed through postoperative radiographs. The mean mouth opening by the end of 3 months is 38.60 mm. Four patients had paresthesia of inferior alveolar nerve pre- and postoperatively, and normal sensation was regained by the end of the third month. There were no reported cases of infection and hardware failure during the 9-month follow-up period.
Conclusion
The results of the study suggest that 3D rectangular grid plate is a feasible alternative to conventional miniplate systems with good clinical outcome and fewer complications related to paresthesia, infection and hardware failure.
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References
Tucker DI, Zachar MR, Chan RK, Hale RG (2013) Characterization and management of mandibular fractures: lessons learned from Iraq and Afghanistan. Atlas Oral Maxillofac Surg Clin N Am 21(1):61–68
Pal US, Singh RK, Dhasmana S et al (2013) Use of 3-D plate in displaced angle fracture of mandible. Craniomaxillofac Trauma Reconstr 6:25–30
Braasch DC, Abubaker AO (2013) Management of mandibular angle fracture. Oral Maxillofac Surg Clin N Am 25(4):591–600
Ellis E III (1999) Treatment methods for fractures of the mandibular angle. Int J Oral Maxillofac Surg 28:243–252
An W, Ainiwaer A, Wusiman P, Ali G, Moming A (2018) Surgical management of mandibular angle fractures. J Craniofac Surg 29(7):1702–1708
Hochuli-Vieira E, Ha TK, Pereira-Filho VA, Landes CA (2011) Use of rectangular grid miniplates for fracture fixation at the mandibular angle. J Oral Maxillofac Surg 69(5):1436–1441
Michelet FX, Deymes J, Dessus B (1973) Osteo-synthesis with miniaturized screwed plates in maxillo-facial surgery. J Maxillofac Surg 1:79–84
Balakrishnan R, Ebenezer V, Dakir A (2014) Three dimensional titanium mini plates in management of mandibular fractures. Biomed Pharmacol J 7:241–246
Schubert W, Kobienia BJ, Pollock RA (1997) Cross-sectional area of the mandible. J Oral Maxillofac Surg 55(7):689–692
Sadhwani BS, Anchlia S (2013) Conventional 2.0-mm miniplates versus 3-D plates in mandibular fractures. Ann Maxillofac Surg 3:154–159
Bormann KH, Wild S, Gellrich NC, Kokemüller H, Stühmer C, Schmelzeisen R, Schön R (2009) Five-year retrospective study of mandibular fractures in Freiburg, Germany: incidence, etiology, treatment, and complications. J Oral Maxillofac Surg 67(6):1251–1255
Toma VS, Mathog RH, Toma RS et al (2003) Transoral versus extraoral reduction of mandible fractures: a comparison of complication rates and other factors. Otolaryngol Head Neck Surg 128:215
Iizuka T, Lindqvist C, Hallikainen D, Paukku P (1991) Infection after rigid internal fixation of mandibular fractures: a clinical and radiologic study. J Oral Maxillofac Surg 49:585–593
Farmand M (1993) The 3d plating system in maxillofacial surgery. J Oral Maxillofac Surg 51:166–167
Mukerji R, Mukerji G, McGurk M (2006) Mandibular fractures: historical perspective. Br J Oral Maxillofac Surg 44:222–228
Thurmuller P, Dodson TB, Kaban LB (2001) Nerve injuries associated with facial trauma: natural history, management, and outcome of treatment. OMFS Clin N Am 13:283–293
Marchena J, Padwa B, Kaban L (1998) Sensory abnormalities associated with mandibular fractures (incidence and natural history). J Oral Maxillofac Surg 56:822
Zix J, Lieger O, Iizuka T (2007) Use of straight and curved 3-dimensional titanium miniplates for fracture fixation at the mandibular angle. J Oral Maxillofac Surg 65:1758
Höfer SH, Ha L, Ballon A, Sader R, Landes C (2012) Treatment of mandibular angle fractures—linea obliqua plate versus grid plate. J Cranio-Maxillofac Surg 40(8):807–811
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The study was performed after an ethical approval from the ethical review committee and institutional review board, Mamata Dental College and Hospital, Khammam.
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Informed consent was obtained from all individual participants included in the study.
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Sudheer, R., Chakravarthy, B.D., Vura, N. et al. Management of Angle Mandible Fractures by 3D Rectangular Grid Plate: A Prospective Study. J. Maxillofac. Oral Surg. 19, 420–424 (2020). https://doi.org/10.1007/s12663-019-01286-x
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DOI: https://doi.org/10.1007/s12663-019-01286-x