scholarly journals Use of 3-D Plate in Displaced Angle Fracture of Mandible

2013 ◽  
Vol 6 (1) ◽  
pp. 25-29 ◽  
Author(s):  
Uma Shanker Pal ◽  
R.K. Singh ◽  
Satish Dhasmana ◽  
Somdipto Das ◽  
Sanjib K. Das
Keyword(s):  
General Anesthesia ◽  
Three Dimensional ◽  
Wound Dehiscence ◽  
Mandibular Angle ◽  
Angle Fracture ◽  
Angle Fractures ◽  
Therapeutic Study ◽  
And Function ◽  
Single Miniplate

Introduction Mandibular angle fractures can be treated by various methods, but even the most popular methods may not be able to give satisfactory results, as the pterygomasseteric sling and masticatory forces can result in displaced angle fracture. These displaced fragments cannot be satisfactorily retained by single miniplate fixation. The aim of this study is to assess treatment of displaced angle fracture with 3-D miniplate fixation. This study can also be considered as a therapeutic study with level V evidence. Materials and Methods This study was designed to assess the feasibility of 3-D matrix miniplate fixation in displaced angle fractures. Eighteen patients with displaced angle fractures were included in this study. Matrix miniplate fixation was done transorally under general anesthesia. Results All these cases were treated successfully, and common complications like infection (5.5% of patients), wound dehiscence (11%), paresthesia (16.7%), and malocclusion (11%) were observed in our study. Conclusions Three-dimensional miniplate fixation in displaced angle fractures provides better stability and function.

scholarly journals Transoral Miniplate Fixation of Mandibular Angle Fracture with and without 2 Weeks of Maxillomandibular Fixation: A Clinical Trial Study

2013 ◽  
Vol 6 (2) ◽  
pp. 107-113 ◽  
Author(s):  
Kazem S. Khiabani ◽  
Meghdad Khanian Mehmandoost
Keyword(s):  
Facial Trauma ◽  
Mandibular Angle ◽  
Maxillomandibular Fixation ◽  
Mandibular Angle Fracture ◽  
Angle Fracture ◽  
Ideal Line ◽  
External Oblique ◽  
Angle Fractures ◽  
Sufficient Strength ◽  
Single Miniplate

Background and Objectives The ideal line of osteosynthesis in mandibular angle fractures indicates that a plate might be placed either along or just below the external oblique ridge. Some authors believe that using one miniplate at this line at the mandibular angle region provides sufficient strength to stabilize the fracture but others imply a second plate is required. Such controversies exist in the use of maxillomandibular fixation (MMF). The intention of the present study was to compare efficiency and complications of using one miniplate with and without MMF in mandibular angle fractures. Methods and Materials Forty patients with facial trauma with mandibular angle fractures including displaced and unfavorable fractures were categorized into two groups of 20 persons. In all patients, one miniplate was placed on the external oblique ridge. In the first group, patients had light maxillomandibular elastic bands just after surgery but no rigid MMF. In the second group, patients had rigid MMF for 2 weeks after surgery. Patients were followed to evaluate complications and treatment efficiency. Conclusions Our study showed that use of a single miniplate in the external oblique ridge is a functionally stable treatment for all types of angle fractures (including displaced and unfavorable fractures) except comminuted and long oblique fractures, which were not included in our study. Use of postoperative MMF did not improve the results.

scholarly journals Comparative Evaluation between Single Noncompression Miniplate and Two Noncompression Miniplates in the Treatment of Mandibular Angle Fractures

2019 ◽  
Vol 12 (2) ◽  
pp. 122-127 ◽  
Author(s):  
Shubhamoy Mondal ◽  
Gaurav Singh ◽  
Madan Mishra ◽  
Amit Gaur ◽  
Abhinav Srivastava
Keyword(s):  
Comparative Evaluation ◽  
Wound Dehiscence ◽  
Mandibular Angle ◽  
Mandibular Angle Fracture ◽  
Intraoral Approach ◽  
Group I ◽  
Angle Fracture ◽  
Significant Difference ◽  
Angle Fractures ◽  
Superior Border

This study was conducted to compare the outcome of single noncompression miniplate versus two noncompression miniplates in the treatment of mandibular angle fracture. A total of 40 patients were divided into two groups: Group I ( n = 20), patients were treated by single miniplate at superior border of mandible by intraoral approach; Group II ( n = 20), patients were treated by one miniplate at superior border of mandible, intraorally, and another at the lateral aspect of angle, transbuccally by trocar and cannula. Comparative evaluation was done at 1, 2, 4, 6, and 12 weeks and 6 months. The findings of this study suggest that there was no significant difference in postoperative complications (malocclusion, pain, swelling, infection, facial nerve injury, wound dehiscence, plate exposure) and bite force between the two groups.

scholarly journals Management of Mandibular Angle Fractures by Two Conventional 2.0-mm Miniplates: A Retrospective Study of 389 Patients

2016 ◽  
Vol 9 (3) ◽  
pp. 206-210 ◽  
Author(s):  
Giuseppe Spinelli ◽  
Davide Lazzeri ◽  
Francesco Arcuri ◽  
Domenico Valente ◽  
Tommaso Agostini
Keyword(s):  
Postoperative Complications ◽  
Internal Fixation ◽  
Complication Rate ◽  
Wound Dehiscence ◽  
Mandibular Angle ◽  
Outer Cortex ◽  
Mandibular Angle Fracture ◽  
Angle Fracture ◽  
Significant Difference ◽  
Angle Fractures

Fractures of the mandibular angle account for 23 to 42% of all facial fractures with a high complication rate (0–32%). Although the ideal treatment remains debatable, two main procedures are commonly used to manage the majority of mandibular angle fractures that are open reduction and internal fixation by a noncompression miniplate placed on the external oblique ridge with or without a second miniplate on the outer cortex. The purpose of this study was to describe our management of mandibular angle fractures by two noncompression miniplates placed on the outer cortex via a transbuccal approach. Medical records and radiographic examination of 389 patients (258 males [66.3%] and 131 females [33.7%]) operated from January 2000 to December 2012 were retrospectively reviewed. Postoperative complications including malocclusion, infection, wound dehiscence, nonunion, and reoperative surgery were recorded and analyzed. Fifty-three patients developed postoperative complications (overall complication rate: 13.6%). No significant difference was found in the complication rate by age and gender variables and regarding the interval between the trauma and the operation and the presence of the teeth in the line of fracture. A higher rate of complications was found among patients with alcohol/drug addiction and in patients with multiple-site involvement. The findings of this study suggest that the use of two transbuccal miniplates placed on the outer cortex for the internal fixation of mandibular angle fracture provided a low rate of complications. The global incidence of screw loosening, wound dehiscence, plate exposure, infection, reoperation, and plate removal were similar with the data reported in the literature with improved health outcomes, lower postoperative morbidity, and a faster return to normal life.

scholarly journals A Prospective Study of Strut versus Miniplate for Fractures of Mandibular Angle

2013 ◽  
Vol 6 (3) ◽  
pp. 191-196 ◽  
Author(s):  
Amy S. Xue ◽  
John C. Koshy ◽  
Erik M. Wolfswinkel ◽  
William M. Weathers ◽  
Kristina P. Marsack ◽  
...  
Keyword(s):  
Mandibular Angle ◽  
Patient Demographics ◽  
Mandibular Angle Fracture ◽  
Plate Group ◽  
Angle Fracture ◽  
Significant Difference ◽  
Comminuted Fractures ◽  
Angle Fractures ◽  
A Prospective Study ◽  
To Receive

This prospective randomized clinical trial compared the treatment outcomes of strut plate and Champy miniplate in fixation of mandibular angle fractures. Patients with mandibular angle fracture were consented and enrolled into this study. Exclusion criteria include patients with severely comminuted fractures. The patients were randomly assigned to receive the strut plate or Champy miniplate for angle fracture fixation. Patient demographics, fracture characteristics, operative and postoperative outcomes were collected prospectively. Statistical analysis was performed to evaluate the significance of the outcome. A total of 18 patients were included in this study and randomly assigned to receive either the strut plate or Champy miniplate. Out of which five patients were excluded postoperatively due to complex fracture resulting in postoperative maxillomandibular fixation. The final enrollment was 13 patients, N = 6 (strut) and N = 7 (Champy). There was no statistically significant difference in the pretreatment variables. Nine of these patients had other associated facial fractures, including parasymphyseal and subcondylar fractures. Most of the (11) patients had sufficient follow-up after surgery. Both groups exhibited successful clinical unions of the mandibular angle fractures. The complications associated with the mandibular angle were 20% in the strut plate group and 16.7% in the Champy group. One patient in the strut plate group had a parasymphyseal infection, requiring hardware removal. The strut plate demonstrated comparable surgical outcome as the Champy miniplate. It is a safe and effective alternative for management of mandibular angle fracture.

scholarly journals Qualitative and quantitative assessment of relationship between mandibular third molar and angle fracture on North Indian population: A clinico-radiographic study

2013 ◽  
Vol 07 (02) ◽  
pp. 212-217 ◽  
Author(s):  
Suresh Yadav ◽  
Shallu Tyagi ◽  
Naveen Puri ◽  
Prince Kumar ◽  
Puneet Kumar
Keyword(s):  
Third Molar ◽  
Indian Territory ◽  
Mandibular Angle ◽  
The North ◽  
Mandibular Angle Fracture ◽  
Mandibular Third Molar ◽  
Angle Fracture ◽  
Angle Fractures ◽  
Inferior Border ◽  
The Relationship

ABSTRACT Objective: To assess the relationship between impacted mandibular third molar presence and the risk for mandibular angle fracture with the effect of various positions of mandibular third molar and the risk of mandibular angle fracture. Materials and Methods: In the North Indian territory, a total of 289 patients with mandibular angle fractures were studied and evaluated for the possible relationship with impacted third molar on the basis of clinical and panoramic radiographical findings. Results: Results that confirmed the highest risk for mandibular angle fracture was associated with mesioangular angulations (45.42%) followed by vertical (26.34%), distoangular in sequence and least risk was found with bucco-version angulations (2.67%) according to Winter′s classification. Additionally, the highest risk of mandibular angle fracture was reported with partially erupted third molar (47.75%), followed by erupted (23.53%) and unerupted third molar (19.38%). Conclusion: The risk for mandibular angle fracture is not only affected by status of eruption, angulations, position, number of roots present in third molar but also by the distance of mandibular third molar from inferior border of mandible and the percentage of remaining amount of bone at the mandibular angle region.

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