Transoral approach alone in single miniplate osteosynthesis of angle fracture - our experience

Yadav, Sunil; Mittal, Hitesh Chander; Dhupar, Vikas; Akkara, Francis; Sachdeva, Akash

doi:10.4103/0975-5950.196136

Cited by 3 publications

(7 citation statements)

References 34 publications

(50 reference statements)

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“…Seven cases presented with infection preoperatively which significantly decreased to 2 cases postoperatively and disappeared after 3 weeks. Similarly, infection and plate exposure was reported as a common complication in another study 8 in which patients with mandibular angle fracture were treated with 2.0 mm single miniplate at upper border using transoral approach. However, the authors concluded that the use of transoral single miniplates placed along superior border superior is effective and simple approach 8 .…”

Section: *P Is Significant At 5% Different Letters Indicate Significa...mentioning

confidence: 80%

“…Similarly, infection and plate exposure was reported as a common complication in another study 8 in which patients with mandibular angle fracture were treated with 2.0 mm single miniplate at upper border using transoral approach. However, the authors concluded that the use of transoral single miniplates placed along superior border superior is effective and simple approach 8 . In agreement with this observation, another study 10 reported wound dehiscence and infection in 2 patients occurred after 2 weeks with mild swelling, purulent drainage, and moderate pain when single 2.0-mm locking miniplate was used.…”

Section: *P Is Significant At 5% Different Letters Indicate Significa...mentioning

confidence: 80%

“…Proper fixation with undisturbed healing is mandatory to avoid infection, malocclusion, or nonunion 23,24 . Several confounding factors can control the choice of proper treatment approach as the location of the fracture, the type of fracture, the degree of displacement of fractured bones, the existing teeth, aesthetic demands, and experience 8 . The use of the soft tissue facial scares postoperatively or in the follow up visits.…”

Section: Discussionmentioning

confidence: 99%

“…The treatment is usually complicated by limited intraoral access 7 . The type of surgery required for reduction and fixation of unfavorable mandibular angle fracture is governed by several factors such as the site and type of fracture, amount of displacement, and clinical experience of the surgeon 8 . The treatment of choice of management of mandibular angle fracture should provide perfect reduction of fractured segments, stable fixation, painless mobilization of the jaw, reduction of post-operative complications, and achieving an immediate function 9 .…”

Section: Introductionmentioning

confidence: 99%

“…Various treatment approaches ranged from simple intermaxillary fixation to open reduction and rigid internal fixation to provide immobilization of the bony fragments to facilitate healing 11 . However, the ideal treatment still needs to be determined 8 . Several shapes, sizes, designs and numbers of plates and screws have been used.…”

Section: Introductionmentioning

confidence: 99%

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Management of unfavorable displaced mandibular angle fracture with combined rigid and semi-rigid fixation using trans-oral and trans-buccal approaches. One year prospective clinical and radiographic study

Said

2022

Egyptian Dental Journal

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Purpose:The aim of this prospective study was to evaluate clinical and radiographic outcomes of combined rigid and semi-rigid fixation using trans-oral and trans-buccal approaches in the management of unfavorable displaced mandibular angle fracture with opening mouth immediately postoperatively. Materials and methods:Thirteen patients (age 16-58 years, 9 males and 4 females) with unfavorable displaced mandibular angle fractures were treated by combined rigid and semi-rigid fixation using trans-oral and trans-buccal approaches. The following clinical parameters were evaluated; pain, infection, maximum mouth opening, neurosensory disturbance, malocclusion/ midline shift, presence of unsightly facial soft tissue scar, muscle trismus, ability to chew hard food, loosening of hardware, and need for alternative treatment. Radiographic evaluation included evaluation of fracture type, any abnormal position of hardware and screws, malunion, displacement if present, and malocclusion using cone-beam computerized tomography (CBCT)that was done preoperatively and at 8weeks postoperative. All parameters were evaluated preoperatively, postoperatively,3 weeks,8 weeks, 6 months, and 12 months later.Results: Maximum mouth opening preoperatively (8.52mm) significantly increased postoperatively to 30.57mm, then significantly increased at 3, 8 weeks, and 6 months. All cases (13 patients) were detected with pain perioperatively which continued to 3 weeks then significantly decreased at 8 weeks and disappeared after 6 months. Seven cases presented with infection preoperatively which significantly decreased to 2 cases postoperatively and disappeared after 3 weeks. All cases had trismus which significantly decrease postoperatively and disappeared after 6 months. Three cases were detected with neurosensory disturbance postoperatively and disappeared after 6 months. All patients were unable to chew hard food till 8 weeks. No cases were detected with malocclusion/midline shift, malunion, non-union, unsightly facial soft tissue scare, no need for any alternative treatments or loosening of the hardware was detected postoperatively. Conclusion:Within the limitation of this study, combined rigid and semi-rigid fixation using trans-oral and trans-buccal approaches in the management of unfavorable displaced mandibular angle fracture is an effective treatment modality as it was associated with favorable clinical and radiographic outcomes with reduced complications after one year.

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Section: *P Is Significant At 5% Different Letters Indicate Significa...mentioning

confidence: 80%

Section: *P Is Significant At 5% Different Letters Indicate Significa...mentioning

confidence: 80%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Management of unfavorable displaced mandibular angle fracture with combined rigid and semi-rigid fixation using trans-oral and trans-buccal approaches. One year prospective clinical and radiographic study

Said

2022

Egyptian Dental Journal

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Comparison of Conventional Versus Right Angled Fixation Technique in Management of Mandibular Angle Fractures – A Prospective Randomized Clinical Study

Pavithra

Narayanan

Chandran

et al. 2023

Journal of Oral and Maxillofacial Surgery

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Prevalence of surgical site infections after open reduction and internal fixation for mandibular fractures: a systematic review and meta-analysis

Kostares

Kostare

Kostares

et al. 2023

Sci Rep

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Our study aims to estimate the prevalence of surgical site infections (SSI) following open reduction and internal fixation (ORIF) for mandibular fractures and to determine the effect of potential moderators on it. A systematic literature search (Medline and Scopus databases) was conducted independently by two reviewers. The pooled prevalence with 95% confidence intervals was estimated. Quality assessment as well as outlier and influential analysis were performed. Additionally, subgroup and meta-regression analysis were conducted in order the effect of categorical and continuous variables on the estimated prevalence to be investigated. In total, seventy-five eligible studies (comprising a sum of 5825 participants) were included in this meta-analysis. The overall prevalence of SSI following ORIF for mandibular fractures was estimated as high as 4.2% (95% CI 3.0–5.6%) with significant heterogeneity between studies. One study was identified to be critically influential. In the subgroup analysis, the prevalence was 4.2% (95% CI 2.2–6.6%) among studies conducted in Europe, 4.3% (95% CI 3.1–5.6%) among studies conducted in Asia and higher among those conducted in America (7.3%) (95% CI 4.7–10.3%). It is important for healthcare professionals to be aware of the etiology of these infections, despite the relatively low rate of SSI in these procedures. However, further, well-designed prospective and retrospective studies need to be conducted in order this issue to be fully clarified.

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Transoral approach alone in single miniplate osteosynthesis of angle fracture - our experience

Cited by 3 publications

References 34 publications

Management of unfavorable displaced mandibular angle fracture with combined rigid and semi-rigid fixation using trans-oral and trans-buccal approaches. One year prospective clinical and radiographic study

Management of unfavorable displaced mandibular angle fracture with combined rigid and semi-rigid fixation using trans-oral and trans-buccal approaches. One year prospective clinical and radiographic study

Comparison of Conventional Versus Right Angled Fixation Technique in Management of Mandibular Angle Fractures – A Prospective Randomized Clinical Study

Prevalence of surgical site infections after open reduction and internal fixation for mandibular fractures: a systematic review and meta-analysis

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