Monocortical Miniplate Fixation of Mandibular Angle Fractures

Assessment of 1.5 Mm Low Profile Titanium Miniplate As a Tension Band in Treatment of Mandibular Parasymphyseal Fractures

“…The difference between both groups was found to be statistically insignificant (P=0.33). This was relatively in accordance with what stated by Kim and Nam [1][2][3] as they reported that Postoperative infection was observed in only one patient and treated adequately with incision and drainage and antibiotic medication and the plate was not removed. Also this was different from what stated by Ellis and Ghali [13] in their study (on 41 patients) of lag screw fixation of mandibular parasymphyseal and angle fractures as they reported two postoperative infections.…”

“…This allows its use as a tension band without affecting tooth Global Journal of Otolaryngology vitality and periodontium that was reported as a complication in association with other means of fixation in tension zone. This went in accordance to Levy et al [3], Frost et al [4] and Tonima et al [5] as they stated that the smaller, more flexible bone plates have minimal stress shielding effect, with less hazard effect on mineral content of bone and its mechanical properties as compared to the effect of AO plate. This went in accordance with Champy et al [7] who stated that smaller plates placed with monocortical screws in ideal osteosynthesis lines were needed to achieve healing under functional load without roots injury.…”

Assessment of 1.5 Mm Low Profile Titanium Miniplate As a Tension Band in Treatment of Mandibular Parasymphyseal Fractures

“…The difference between both groups was found to be statistically insignificant (P=0.33). This was relatively in accordance with what stated by Kim and Nam [1][2][3] as they reported that Postoperative infection was observed in only one patient and treated adequately with incision and drainage and antibiotic medication and the plate was not removed. Also this was different from what stated by Ellis and Ghali [13] in their study (on 41 patients) of lag screw fixation of mandibular parasymphyseal and angle fractures as they reported two postoperative infections.…”

“…This allows its use as a tension band without affecting tooth Global Journal of Otolaryngology vitality and periodontium that was reported as a complication in association with other means of fixation in tension zone. This went in accordance to Levy et al [3], Frost et al [4] and Tonima et al [5] as they stated that the smaller, more flexible bone plates have minimal stress shielding effect, with less hazard effect on mineral content of bone and its mechanical properties as compared to the effect of AO plate. This went in accordance with Champy et al [7] who stated that smaller plates placed with monocortical screws in ideal osteosynthesis lines were needed to achieve healing under functional load without roots injury.…”

Mandibular Angle Fractures

“…Overall, the findings of our study appear to support the use of noncompression monocortical 2-miniplate fixation of angle fractures. The low infection rate seen in this study is consistent with the findings of Levy et al 14 However, our results are in distinct contrast to those of the study performed by Ellis and Walker 9 that demonstrated a high infection rate using 2 noncompression miniplates. In the latter study, however, the miniplate at the inferior border was placed with a bicortical technique; therefore, since all the miniplates in our study were applied using a monocortical technique, direct comparison between our study and that of Ellis and Walker 9 may be difficult.…”

3-D Miniplates Versus Conventional Miniplates in Treatment of Mandible Fractures

“…The improvement in plate stability will reduce the postoperative infection [22,23]. With the use of ORIF, the reported incidence of infection ranges from 3 to 32% [7,24]. In the present study, no significant difference was noted in infection between two groups on immediate and 7th postoperative day.…”

Assessment of 1.5 Mm Low Profile Titanium Miniplate As a Tension Band in Treatment of Mandibular Parasymphyseal Fractures

“…The difference between both groups was found to be statistically insignificant (P=0.33). This was relatively in accordance with what stated by Kim and Nam [1][2][3] as they reported that Postoperative infection was observed in only one patient and treated adequately with incision and drainage and antibiotic medication and the plate was not removed. Also this was different from what stated by Ellis and Ghali [13] in their study (on 41 patients) of lag screw fixation of mandibular parasymphyseal and angle fractures as they reported two postoperative infections.…”

“…This allows its use as a tension band without affecting tooth Global Journal of Otolaryngology vitality and periodontium that was reported as a complication in association with other means of fixation in tension zone. This went in accordance to Levy et al [3], Frost et al [4] and Tonima et al [5] as they stated that the smaller, more flexible bone plates have minimal stress shielding effect, with less hazard effect on mineral content of bone and its mechanical properties as compared to the effect of AO plate. This went in accordance with Champy et al [7] who stated that smaller plates placed with monocortical screws in ideal osteosynthesis lines were needed to achieve healing under functional load without roots injury.…”

Mandibular Angle Fractures

“…Overall, the findings of our study appear to support the use of noncompression monocortical 2-miniplate fixation of angle fractures. The low infection rate seen in this study is consistent with the findings of Levy et al 14 However, our results are in distinct contrast to those of the study performed by Ellis and Walker 9 that demonstrated a high infection rate using 2 noncompression miniplates. In the latter study, however, the miniplate at the inferior border was placed with a bicortical technique; therefore, since all the miniplates in our study were applied using a monocortical technique, direct comparison between our study and that of Ellis and Walker 9 may be difficult.…”

3-D Miniplates Versus Conventional Miniplates in Treatment of Mandible Fractures

“…The improvement in plate stability will reduce the postoperative infection [22,23]. With the use of ORIF, the reported incidence of infection ranges from 3 to 32% [7,24]. In the present study, no significant difference was noted in infection between two groups on immediate and 7th postoperative day.…”

Assessment of 1.5 Mm Low Profile Titanium Miniplate As a Tension Band in Treatment of Mandibular Parasymphyseal Fractures

“…The difference between both groups was found to be statistically insignificant (P=0.33). This was relatively in accordance with what stated by Kim and Nam [1][2][3] as they reported that Postoperative infection was observed in only one patient and treated adequately with incision and drainage and antibiotic medication and the plate was not removed. Also this was different from what stated by Ellis and Ghali [13] in their study (on 41 patients) of lag screw fixation of mandibular parasymphyseal and angle fractures as they reported two postoperative infections.…”

“…This allows its use as a tension band without affecting tooth Global Journal of Otolaryngology vitality and periodontium that was reported as a complication in association with other means of fixation in tension zone. This went in accordance to Levy et al [3], Frost et al [4] and Tonima et al [5] as they stated that the smaller, more flexible bone plates have minimal stress shielding effect, with less hazard effect on mineral content of bone and its mechanical properties as compared to the effect of AO plate. This went in accordance with Champy et al [7] who stated that smaller plates placed with monocortical screws in ideal osteosynthesis lines were needed to achieve healing under functional load without roots injury.…”

Mandibular Angle Fractures

“…Overall, the findings of our study appear to support the use of noncompression monocortical 2-miniplate fixation of angle fractures. The low infection rate seen in this study is consistent with the findings of Levy et al 14 However, our results are in distinct contrast to those of the study performed by Ellis and Walker 9 that demonstrated a high infection rate using 2 noncompression miniplates. In the latter study, however, the miniplate at the inferior border was placed with a bicortical technique; therefore, since all the miniplates in our study were applied using a monocortical technique, direct comparison between our study and that of Ellis and Walker 9 may be difficult.…”

3-D Miniplates Versus Conventional Miniplates in Treatment of Mandible Fractures

“…The improvement in plate stability will reduce the postoperative infection [22,23]. With the use of ORIF, the reported incidence of infection ranges from 3 to 32% [7,24]. In the present study, no significant difference was noted in infection between two groups on immediate and 7th postoperative day.…”