SUPERIOR BORDER VERSUS LATERAL BORDER MINIPLATE FIXATION IN MANAGEMENT OF MANDIBULAR ANGLE FRACTURE – A COMPARISON OF TWO TECHNIQUES
Keywords:
Angle of mandible, complications, fracture, transbuccal technique
Abstract
Objective: The purpose of this study is to compare the outcome of two surgical approaches i.e. 1.intraoral superior border and 2. transbuccal lateral cortical plating for the management of angle of mandible fracture.
Methods: Cohort study conducted during December 2014 to December 2016. Total 20 patients were selected for this study. Patients were equally divided into transbuccal and transoral groups. SPSS Inc was used to compare the outcomes of the two surgical methods.
Results: Two patients showed sign of infection in which both showed dehiscence of incision and exposure of miniplates in Superior border fixation group. No patient showed a sign of infection in group 2. More time required for superior border fixation (mean- 63.9000 minutes) as compared to lateral border fixation (mean- 53.100 minutes). Neurosensory disturbance and the postoperative scar were higher in the 2nd group.
Conclusion: Transbuccal fixation technique is a superior fixation technique as compared to transoral fixation approach for the treatment of mandibular angle fractures.
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References
[1]. Alvi A, Doherty T, Lewen G. Facial fractures and concomitant injuries in trauma patients. Laryngoscope 2003;113(1):102-6.
[2]. Cannell H, Dyer PV, Paterson A. Maxillofacial injuries in the multiply injured. Eur J Emerg Med 1996;3(1):43-7.
[3]. Perry M, Dancey A, Mireskandari K, Oakley P, Davies S, Cameron M. Emergency care in facial trauma e a maxillofacial and ophthalmic perspective. Injury 2005;36(8):875-96.
[4]. Ellis III E. Advances in maxillofacial trauma surgery. In: Fonseca RJ, Walker RV, editors. Oral and maxillofacial trauma. 2nd ed. Philadelphia: W.B. Saunders Company; 1997;308– 63.
[5]. Aleysson PO, Abuabara A, Passeri LA: Analysis of 115 mandibular angle fractures. J Oral Maxillofac Surg 2008;66:73.
[6]. Wagner WF, Neal DC, Alpert B: Morbidity associated with an extraoral open reduction of mandibular fractures. J Oral Surg 1979;37:97.
[7]. James RB, Fredrickson C, Kent JN: Prospective study of mandibular fractures. J Oral Surg 1981;39:275.
[8]. Chuong R, Donoff RB, Guralnick WC: A retrospective analysis of 327 mandibular fractures. J Oral Maxillofac Surg 1983;41:305.
[9]. Iizuka T, Lindqvist C, Hallikainen D, et al: Infection after rigid internal fixation of mandibular fractures. A clinical and radiologic study. J Oral Maxillofac Surg
1991;49:585.
[10]. Passeri LA, Ellis E, Sinn DP: Complications of non-rigid fixation of mandibular angle fractures. J Oral Maxillofac Surg 1993;51:382.
[11]. Dorland’s illustrated medical dictionary, ed 30, Philadelphia, 2003, WB Saunders.
[12]. Ellis III Treatment Methods for fracture of Mandibular Angle.Int j. oral maxillofacial sur. 1999;28:243-252.
[13]. Ellis E 3rd, Moos KF, el-Attar A. Ten years of mandibular fractures: an analysis of 2,137 cases. Oral Surg Oral Med Oral Pathol. 1985;59(2):120-9.
[14]. S. Laverick, P. Siddappa, H. Wongc, P. Patel, D.C. Jones; Intraoral external oblique ridge compared with transbuccal lateral cortical plate fixation for the
treatment of fractures of the mandibular angle: prospective randomized trial: British Journal of Oral and Maxillofacial Surgery 2012;50:344–349.
[15]. Kenneth Wan, Raymond A. Williamson, Dieter Gebauer, and Kathryn Hird: Complications After Treatment Than the Transoral Technique? J Oral Maxillo fac Surg 2012; 70: 2620-2628.
[16]. Kumar S, Prabhakar V, Rao K, Brar R: A comparative review of treatment of 80 mandibular angle fracture fixation with miniplates using three different techniques. Indian J Otolaryngol Head Neck Surg 2011;63:190.
[17]. Iizuka T, Lindqvist C. Rigid internal fixation of mandibular fractures. Int J Oral Maxillofac Surg 1992;21:65–69.
[18]. Pattar P, Shetty S, Degala S: A prospective study on the management of mandibular angle fracture. J Maxillofac Oral Surg. doi.org/10.1007/s12663-013-0542-3.
[19]. Sugar A, Gibbons A, Atton D, et al: A randomized controlled trial comparing fixation of mandibular angle fractures with a single miniplate placed either
transbuccally and intra-orally, or intraorally alone. Int J Oral Maxillofac Surg 2009;38:241.
[20]. Heibel H, Alt K W, Wächter R,Bähr W.[Cortical thickness of the mandible with special reference to miniplate osteosynthesis. Morphometric analysis of autopsy material. 2001;5:180–5. InGerman.
[21]. Louise Dunphy, Moorthy Halsnad, Ian Sharp; a Simple novel technique to accurately control the depth of drill holes during transbuccal osteosynthesis of
mandibular fractures: British Journal of Oral and Maxillofacial Surgery 2014;52: 985–986.
[22]. Kale TP, Baliga SD, Ahuja N, Kotrashetti SM. A comparative study between transbuccal and extra-oral approaches in the treatment of mandibular fractures. J Maxillofac Oral Surg 2010;9:9–12.
[23]. Murr AH. Operative techniques: Innovations in facial trauma. Alternative techniques of fixation for mandibular angle fractures. Operative techniques in otolaryngology-head and neck surgery 2002;13:273–6.
[24]. Purva Vijay Sinai Khandeparker, Vikas Dhupar, Rakshit Vijay Sinai Khandeparker, Hunny Jain, Kiran Savant, Vikas Berwal: Transbuccal versus transoral approach for management of mandibular angle fractures: a prospective, clinical and radiographic study. J Korean Assoc Oral Maxillofac Surg 2016;42:144-150.
[25]. Alpert B, Seligson D: Removal of asymptomatic bone plates used for orthognathic surgery and facial fractures. J Oral Maxillofac Surg 1996;54:618.
[26]. Haug RH: Retention of bone plates used for orthognathic surgery and facial fractures. J Oral Maxillofac Surg 1996;54:611.
[27]. Sugar AW, Gibbons AJ, Patton DW, Silvester KC, Hodder SC, Gray M, et al. A randomized controlled trial comparing fixation of mandibular angle fractures
with a single miniplate placed either transbuccally and intra-orally or intraorally alone. Int J Oral Maxillofac Surg 2009;38:241-5.
[28]. Gear AJ, Apasova E, Schmitz JP, Schubert W. Treatment modalities for mandibular angle fractures. J Oral Maxillofac Surg 2005;63:655-63
[2]. Cannell H, Dyer PV, Paterson A. Maxillofacial injuries in the multiply injured. Eur J Emerg Med 1996;3(1):43-7.
[3]. Perry M, Dancey A, Mireskandari K, Oakley P, Davies S, Cameron M. Emergency care in facial trauma e a maxillofacial and ophthalmic perspective. Injury 2005;36(8):875-96.
[4]. Ellis III E. Advances in maxillofacial trauma surgery. In: Fonseca RJ, Walker RV, editors. Oral and maxillofacial trauma. 2nd ed. Philadelphia: W.B. Saunders Company; 1997;308– 63.
[5]. Aleysson PO, Abuabara A, Passeri LA: Analysis of 115 mandibular angle fractures. J Oral Maxillofac Surg 2008;66:73.
[6]. Wagner WF, Neal DC, Alpert B: Morbidity associated with an extraoral open reduction of mandibular fractures. J Oral Surg 1979;37:97.
[7]. James RB, Fredrickson C, Kent JN: Prospective study of mandibular fractures. J Oral Surg 1981;39:275.
[8]. Chuong R, Donoff RB, Guralnick WC: A retrospective analysis of 327 mandibular fractures. J Oral Maxillofac Surg 1983;41:305.
[9]. Iizuka T, Lindqvist C, Hallikainen D, et al: Infection after rigid internal fixation of mandibular fractures. A clinical and radiologic study. J Oral Maxillofac Surg
1991;49:585.
[10]. Passeri LA, Ellis E, Sinn DP: Complications of non-rigid fixation of mandibular angle fractures. J Oral Maxillofac Surg 1993;51:382.
[11]. Dorland’s illustrated medical dictionary, ed 30, Philadelphia, 2003, WB Saunders.
[12]. Ellis III Treatment Methods for fracture of Mandibular Angle.Int j. oral maxillofacial sur. 1999;28:243-252.
[13]. Ellis E 3rd, Moos KF, el-Attar A. Ten years of mandibular fractures: an analysis of 2,137 cases. Oral Surg Oral Med Oral Pathol. 1985;59(2):120-9.
[14]. S. Laverick, P. Siddappa, H. Wongc, P. Patel, D.C. Jones; Intraoral external oblique ridge compared with transbuccal lateral cortical plate fixation for the
treatment of fractures of the mandibular angle: prospective randomized trial: British Journal of Oral and Maxillofacial Surgery 2012;50:344–349.
[15]. Kenneth Wan, Raymond A. Williamson, Dieter Gebauer, and Kathryn Hird: Complications After Treatment Than the Transoral Technique? J Oral Maxillo fac Surg 2012; 70: 2620-2628.
[16]. Kumar S, Prabhakar V, Rao K, Brar R: A comparative review of treatment of 80 mandibular angle fracture fixation with miniplates using three different techniques. Indian J Otolaryngol Head Neck Surg 2011;63:190.
[17]. Iizuka T, Lindqvist C. Rigid internal fixation of mandibular fractures. Int J Oral Maxillofac Surg 1992;21:65–69.
[18]. Pattar P, Shetty S, Degala S: A prospective study on the management of mandibular angle fracture. J Maxillofac Oral Surg. doi.org/10.1007/s12663-013-0542-3.
[19]. Sugar A, Gibbons A, Atton D, et al: A randomized controlled trial comparing fixation of mandibular angle fractures with a single miniplate placed either
transbuccally and intra-orally, or intraorally alone. Int J Oral Maxillofac Surg 2009;38:241.
[20]. Heibel H, Alt K W, Wächter R,Bähr W.[Cortical thickness of the mandible with special reference to miniplate osteosynthesis. Morphometric analysis of autopsy material. 2001;5:180–5. InGerman.
[21]. Louise Dunphy, Moorthy Halsnad, Ian Sharp; a Simple novel technique to accurately control the depth of drill holes during transbuccal osteosynthesis of
mandibular fractures: British Journal of Oral and Maxillofacial Surgery 2014;52: 985–986.
[22]. Kale TP, Baliga SD, Ahuja N, Kotrashetti SM. A comparative study between transbuccal and extra-oral approaches in the treatment of mandibular fractures. J Maxillofac Oral Surg 2010;9:9–12.
[23]. Murr AH. Operative techniques: Innovations in facial trauma. Alternative techniques of fixation for mandibular angle fractures. Operative techniques in otolaryngology-head and neck surgery 2002;13:273–6.
[24]. Purva Vijay Sinai Khandeparker, Vikas Dhupar, Rakshit Vijay Sinai Khandeparker, Hunny Jain, Kiran Savant, Vikas Berwal: Transbuccal versus transoral approach for management of mandibular angle fractures: a prospective, clinical and radiographic study. J Korean Assoc Oral Maxillofac Surg 2016;42:144-150.
[25]. Alpert B, Seligson D: Removal of asymptomatic bone plates used for orthognathic surgery and facial fractures. J Oral Maxillofac Surg 1996;54:618.
[26]. Haug RH: Retention of bone plates used for orthognathic surgery and facial fractures. J Oral Maxillofac Surg 1996;54:611.
[27]. Sugar AW, Gibbons AJ, Patton DW, Silvester KC, Hodder SC, Gray M, et al. A randomized controlled trial comparing fixation of mandibular angle fractures
with a single miniplate placed either transbuccally and intra-orally or intraorally alone. Int J Oral Maxillofac Surg 2009;38:241-5.
[28]. Gear AJ, Apasova E, Schmitz JP, Schubert W. Treatment modalities for mandibular angle fractures. J Oral Maxillofac Surg 2005;63:655-63
How to Cite
1.
Dr. Mohammad Danish, Dr. Syed Sayeed Ahmed, Dr. Gulam Sarwar Hashmi, Dr. Sajjad Abdur Rahman. SUPERIOR BORDER VERSUS LATERAL BORDER MINIPLATE FIXATION IN MANAGEMENT OF MANDIBULAR ANGLE FRACTURE – A COMPARISON OF TWO TECHNIQUES. Med. res. chronicles [Internet]. 2018Oct.31 [cited 2024Dec.20];5(5):340-5. Available from: https://medrech.com/index.php/medrech/article/view/323
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Original Research Article
