A Detailed Analysis of Mandibular Angle Fractures: Epidemiology, Patterns, Treatments, and Outcomes

Patel, Neel; Kim, Beomjune; Zaid, Waleed

doi:10.1016/j.joms.2016.05.002

Cited by 35 publications

(34 citation statements)

References 34 publications

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“…Another study on mandibular angle fracture reported similar epidemiologic data. Patel et al3 showed that the overwhelming majority of patients were men, comprising 85 of 103 patients (82.5%), whereas women accounted for 18 of 103 patients (17.5%) with mandibular angle fracture. Most fractures occurred at the left mandibular angle (34.9%), followed by the right side (34.9%) and both sides (5.8%).…”

Section: Discussionmentioning

confidence: 99%

“…The issue of postoperative infection has long been debated and represents a common complication of mandible angle fracture3. A 1994 study by Ellis and Walker12 found that the extraction of third molars in fracture lines seemed to increase postoperative infection3413.…”

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

“…A 1994 study by Ellis and Walker12 found that the extraction of third molars in fracture lines seemed to increase postoperative infection3413. In 2002, they proposed that the risk of postoperative infection increased if teeth were left in the fracture line3413. Patel et al3 defined infection as purulent discharge from the intraoral incision through a sinus tract to the skin, or a closed area of swelling that required incision and drainage of purulent material.…”

Section: Discussionmentioning

confidence: 99%

“…Mandibular angle fracture is defined as a fracture line between the anterior border of the mandibular ramus and the body of the mandible2. The management of angle fracture is difficult because of its thin cross-sectional area and its attachment to the masticatory muscles applying forces in different vectors, its abrupt change in curvature, and the presence of lower third molars3.…”

Section: Introductionmentioning

confidence: 99%

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Evaluation of postoperative complications according to treatment of third molars in mandibular angle fracture

Lim

Jung

Park

2017

J Korean Assoc Oral Maxillofac Surg

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ObjectivesThe aim of this study was to evaluate the implication of third molars in postoperative complications of mandibular angle fracture with open reduction and internal fixation (ORIF).Materials and MethodsData were collected on patients who presented with mandibular angle fracture at our Department of Oral and Maxillofacial Surgery between January 2011 and December 2015. Of the 63 total patients who underwent ORIF and perioperative intermaxillary fixation (IMF) with an arch bar, 49 patients were identified as having third molars in the fracture line and were followed up with until plate removal. The complications of postoperative infection, postoperative nerve injury, bone healing, and changes in occlusion and temporomandibular joint were evaluated and analyzed using statistical methods.ResultsIn total, 49 patients had third molars in the fracture line and underwent ORIF surgery and perioperative IMF with an arch bar. The third molar in the fracture line was retained during ORIF in 39 patients. Several patients complained of nerve injury, temporomandibular disorder (TMD), change of occlusion, and postoperative infection around the retained third molar. The third molars were removed during ORIF surgery in 10 patients. Some of these patients complained of nerve injury, but no other complications, such as TMD, change in occlusion, or postoperative infection, were observed. There was no delayed union or nonunion in either of the groups. No statistically significant difference was found between the non-extraction group and the retained teeth group regarding complications after ORIF.ConclusionIf the third molar is partially impacted or completely nonfunctional, likely to be involved in pathologic conditions later in life, or possible to remove with the plate simultaneously, extraction of the third molar in the fracture line should be considered during ORIF surgery of the mandible angle fracture.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Evaluation of postoperative complications according to treatment of third molars in mandibular angle fracture

Lim

Jung

Park

2017

J Korean Assoc Oral Maxillofac Surg

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Fractures of the Mandible

Rai

2021

Oral and Maxillofacial Surgery for the Clinician

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Fracture of Mandible is the most common occurrence in comparison to any other bone of the maxillofacial region. Various classifications are put forward which are helpful in diagnosing the mandible fracture. This chapter focuses on the general and clinical examination of the maxillofacial region which helps in clinical diagnosis, different radiographic techniques, various approaches, emergency as well as surgical management and outcome with various modalities of treatment.

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Compare the Efficacy of Open Reduction and Internal Fixation of Mandibular Fractures With and Without Use of Intra-Operative Inter-Maxillary Fixation

Bhushan¹,

Unakalkar²,

Sahu³

et al. 2021

Indian J Otolaryngol Head Neck Surg

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A Detailed Analysis of Mandibular Angle Fractures: Epidemiology, Patterns, Treatments, and Outcomes

Cited by 35 publications

References 34 publications

Evaluation of postoperative complications according to treatment of third molars in mandibular angle fracture

Evaluation of postoperative complications according to treatment of third molars in mandibular angle fracture

Fractures of the Mandible

Compare the Efficacy of Open Reduction and Internal Fixation of Mandibular Fractures With and Without Use of Intra-Operative Inter-Maxillary Fixation

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