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JOURNAL OF MAXILLOFACIAL TRAUMA
A Journal on Maxillofacial Trauma
Official Journal of the International Society of Maxillofacial Trauma
Journal of Maxillofacial Trauma 2014 December;3(3):45-51
Management of mandibular angle fractures with a single miniplate. Transbuccal combined with Intraoral vs. Intraoral alone: a comparative prospective study
Gehlot N., JK D. R., Arya V., Sharma S., Mehta S.
Department of Oral and Maxillofacial Surgery, SGT Dental College, Gurgaon, Haryana
AIM: Mandibular angle fractures are a common type of injury to facial skeleton. The aim and objectives in treatment include rapid healing by anatomic reduction and fixation and to restore function with minimal disability and complications.
METHODS: 30 patients reporting to the department with mandibular angle fractures were divided into two groups (group I and group II). Group I patients were treated with single superior border miniplate and group II patients were treated with transbuccal combined with intraoral technique. Clinically and radiographically patients were followed up over a period of 3 months.
RESULTS: Mean age for trauma was 27.57 yrs with more male predilection. Surgeons showed preference towards the intraoral superior border plating group. Mean time taken for group I was 47.66 min and group II showed it as 58.93 min. There was no statistically significant difference between both the surgical techniques with respect to 1) radiographic evaluation 2) occlusal stability 3) wound dehiscence 4) plate removal 5) dry socket or inter incisal opening. Neurovascular damage showed significant values in group II when compared with group I. Equal number of patients required additional fixation postoperatively in both the groups. The presence of extraoral scar with intraoral combined with transbuccal technique was not significant at the end of three months.
CONCLUSIONS: The stability of the fracture fragments and other parameters were equally good with intraoral superior border plating on comparison with tranbuccal combined with intraoral technique. Also this technique carries the advantage of no scar, less armamentarium and less technique demanding.