Abstract

A comparative study between intraoral external oblique ridge fixation with transbuccal lateral cortical plate fixation for treatment of mandibular angle fractures, a prospective study

Highlights

  • Trauma is considered the ‘Epidemic of twenty first century’ and accounts for thousands of deaths every year

  • The treatment of mandibular angle fractures has evolved over a period from old methods of bandaging and splinting which are forms of closed reduction to the more recent methods of open reduction ranging from a single non-compression miniplate, lag screws, two miniplates, locking miniplate, and 3D reconstruction plate with varying levels of success [8]

  • Champy et al [11] studied the forces that applied on mandible during mastication on a mathematical model and came to aconclusion that approximately 40dN of force is applied in the mandibular angle region and 60dN in the mandibular symphysis region

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Summary

Introduction

Trauma is considered the ‘Epidemic of twenty first century’ and accounts for thousands of deaths every year. Maxillofacial trauma is very common in all these unforeseen events and the unique position of the mandible on the face makes it vulnerable It is one of the most commonly fractured facial bones [2]. The evolution of the Champy’s line of osteosynthesis which advocates placement of two plates in the mandibular fractures anterior to mental foramen to neutralize these torsional forces and a single plate in fractures posterior to mental foramen and at angle a single plate placed along the external oblique ridge vertically, screws being inserted sagittally through intraoral approach or alternatively the plate being adapted on the lateral surface of the mandible and fixation at a neutral midpoint of mandible via

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