Abstract
Introduction: Mandible is frequently involved bone in facial fracture with angle fracture accounting for 27-30% of cases. Various methods and approaches have been tried for treatment of angle fracture.
 Objective: To correlate the different surgical approaches with its outcome postoperatively
 Methodology: A hospital based descriptive observational study was conducted in 30 patients admitted in DentalInpatient Department (IPD), from October 2016 to April 2019. ASA Ipatients having angle fracture of mandible either isolated or combined with other facial bones were included in the study. Different approaches were used for management of angle fracture of mandible. Patient characteristics were presented using frequency table and percentages.
 Result: The mean operative duration was lesser in transbuccal approach (111.25 minutes) compared to transbuccal (lower border) approach (120 minutes) and intraoral (122.5 minutes) in case of isolated angle fracture. Ease of surgical access was good in transbuccal approach 7 patients (70%) compared to intraoral approach 6 patients (42.86%). Occlusal discrepancies were more in transbuccal approach (50%) compared to intraoral approach (21.43%). Scar was barely visible in 2 patients (14.29%) out of 14 patients wheretransbuccal incision was made.
 Conclusion: We recommend intraoral surgical approach for favorable angle fracture. In unfavorable fractures we advise to place the first miniplate via intraoral approach, check for fracture stability intra-operatively and place second miniplate on lower bordervia transbuccal approach if unstable.
Highlights
Mandible is frequently involved bone in facial fractures with angle fracture accoun ng for 27-30% of cases.[1]
The result of our study showed intraoral approach to be more difficult than transbuccal approach with increase in surgical me
The intraoral surgical approach is a good op on for trea ng favorable angle fractures with adequate mouth opening whereas, transbuccal approach is indicated in cases where there is trismus with restricted mouth opening and extraoral submandibular approach is specificly indicated in cases of displaced unstable fracture segments.[3]
Summary
Mandible is frequently involved bone in facial fractures with angle fracture accoun ng for 27-30% of cases.[1]. We designed this study to observe the outcome of mandible angle fracture treated via different approaches and to observe the effec veness of transbuccal (lower border) approach in two-miniplates fixa on in unstable mandible angle fracture. The general objec ve of the study was to see the age group, gender distribu on and cause of mandible angle fracture. The specific objec ve of the study was to correlate the different surgical approaches with its outcome postopera vely
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