Fractures of angle of mandible – A retrospective study

Singh, Sourav; Fry, Ramesh Ram; Joshi, Ajit; Sharma, Geeta; Singh, Smita

doi:10.1016/j.jobcr.2012.10.001

Cited by 8 publications

(9 citation statements)

References 18 publications

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“…The site and pattern of injury vary according to the mode of trauma and the magnitude of the force (2). The angle and the condylar region contribute the majority of mandibular fractures (3).…”

Section: Introductionmentioning

confidence: 99%

Computer-Assisted Surgery in Management of Mandibular Fracture Using a Custom-Made Titanium Mesh Tray

Helmy

Prince

Fliefel

2020

Alexandria Dental Journal

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INTRODUCTION: The mandible is the second most common facial fracture due to its prominence and position. Continuous clinical and biomechanical studies implemented in order to improve the techniques and materials used, leading to reduction in the immobilization period and augmentation of rigid fixation. Computer assisted surgery technology, greatly plays an important role in designing the surgery, facilitating adaptation and fixation. OBJECTIVES: To evaluate clinical and radiographic outcomes of fixation of mandibular fractures using custom-made titanium mesh adapted on 3D model by virtual planning. MATERIALS AND METHODS: Fifteen patients with recent mandibular fracture were treated using custom-made titanium mesh on 3D model. Clinical follow up was conducted after 24-hours, one, four, six, twelve weeks and six months. In addition, a radiographic investigation was performed immediately postoperatively and after six months to estimate the mean bone density across the fracture line. RESULTS: All cases showed normal lower lip sensation both preoperatively and postoperatively with no statistical significance, improved occlusal and intercuspal relation in addition to stabilized intrafragmentary mobility. A statistically significant decrease in intensity of pain was detected based on the Visual Analogue Scale (VAS). Two cases showed disturbed wound healing. The mean bone density after twelve weeks showed a statistically significant increase in its values when compared to the immediately postoperative values (p<0.001). CONCLUSIONS: The use of custom-made titanium mesh adapted on a 3D model resulted in a satisfactory outcome, in terms of achieving adequate reduction and fixation.

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Section: Introductionmentioning

confidence: 99%

Computer-Assisted Surgery in Management of Mandibular Fracture Using a Custom-Made Titanium Mesh Tray

Helmy

Prince

Fliefel

2020

Alexandria Dental Journal

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“…There is a high complication rate and the fracture only can rarely be adequately reduced by simple intermaxillary fixation. Therefore, the primary technique is open reduction [ 4 ]. In this study, except with those unsuitable for surgery, all patients were treated by open reduction.…”

Section: Discussionmentioning

confidence: 99%

“…Other pertinent factors are the biomechanical characteristics of the mandible, bone density, and the pathologic state of the bone [ 3 ]. Because it is difficult to fix with intermaxillary fixation, open reduction is universal [ 4 ].…”

Section: Introductionmentioning

confidence: 99%

A Clinical Study of Mandibular Angle Fracture

Yoon

Kim

et al. 2014

Maxillofacial Plastic and Reconstructive Surgery

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Purpose:To establish management protocol for mandibular angle fracture, we describe pertinent factors including cause, impacted third molar and recent treatment tendency.Methods:We examined the records of 62 patients who had unilateral mandibular angle fracture. Sixty patients who had open reduction surgery were examined at postoperative weeks 1, 4, 8, 12, and 28.Results:Left mandibular angle fracture is frequent in younger males. Presence of the mandibular third molar can increase fracture risk. Because of attached muscle, favorable fractures occurred primarily in the mandibular angle area.Conclusion:Extracting the mandibular third molar can prevent angle fractures, and open reduction with only one plate adaptation is generally the proper treatment method for mandibular angle fracture.

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“…Bilateral fractures of the mandibular angle are described as a “rare traumatic event.”1 However, the rarity is often obscured by the enormous literature on unilateral angle fractures 234567. Bilateral angle fractures may be observed concomitantly with pan facial fractures, where the impacting force is severe, but its isolated occurrence is unusual.…”

Section: Purposementioning

confidence: 99%

Isolated Bilateral Mandibular Angle Fractures: An Extensive Literature Review of the Rare Clinical Phenomenon with Presentation of a Classical Clinical Model

Panneerselvam

Mohanavalli

Sasikala

et al. 2015

Craniomaxillofacial Trauma & Reconstruction

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Bilateral angle fractures are a rare clinical phenomenon in contrast to the incidence of unilateral angle fractures. However, the rarity has garnered less attention in spite of the uniqueness of fracture pattern and distinctive biomechanics. This article is a detailed review on the etiology, clinical presentation, and management of bilateral angle fractures with the presentation of an interesting case. The bilateral angle fracture reported is a untreated, malunited fracture representing an ideal clinical model to study its biomechanics. The clinical features were anterior open bite, increased facial height, and temporomandibular joint tenderness. The management included osteotomy at the malunion and miniplate osteosynthesis. Bilateral angle fracture presents mandible in three independent fragments (left angle, right angle, and intermediate corpus), each with strong muscles acting in different vectors. This makes the fracture vulnerable to severe displacing forces and unfavorable to achieve the optimal reduction, stability, and healing. This necessitates comprehension of the biomechanical forces involved to avoid malunion following fixation. The article details the complex biomechanics of mandibular angle and its clinical implications in the rare event of bilateral angle fractures. It describes the necessity for a systematic approach and ideal osteosynthesis principles to achieve maximal treatment outcomes and minimal complications.

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Fractures of angle of mandible – A retrospective study

Cited by 8 publications

References 18 publications

Computer-Assisted Surgery in Management of Mandibular Fracture Using a Custom-Made Titanium Mesh Tray

Computer-Assisted Surgery in Management of Mandibular Fracture Using a Custom-Made Titanium Mesh Tray

A Clinical Study of Mandibular Angle Fracture

Isolated Bilateral Mandibular Angle Fractures: An Extensive Literature Review of the Rare Clinical Phenomenon with Presentation of a Classical Clinical Model

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