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A Comparative Review of Treatment of 80 Mandibular Angle Fracture Fixation with Miniplates Using Three Different Techniques

Authors
  • Kumar, Sudesh1
  • Prabhakar, Vikram1
  • Rao, Kiran2
  • Brar, Ramandeep1
  • 1 Dasmesh Institute of Research & Dental Science, Department of Oral Surgery, Faridkot, Punjab, India , Faridkot (India)
  • 2 SGRD Institute of medical sciences and research, Amritsar, Punjab, India , Amritsar (India)
Type
Published Article
Journal
Indian Journal of Otolaryngology and Head & Neck Surgery
Publisher
Springer-Verlag
Publication Date
Apr 11, 2011
Volume
63
Issue
2
Identifiers
DOI: 10.1007/s12070-011-0236-4
Source
Springer Nature
Keywords
License
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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.

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