A randomised controlled trial comparing fixation of mandibular angle fractures with a single miniplate placed either transbuccally and intra-orally, or intra-orally alone

Abstract This study compared fixation of simple mandibular angle fractures with a single miniplate either placed from a combined transbuccal and intra-oral approach, or intra-orally alone. 140 consecutive patients were randomly allocated to the two treatment groups. Complications were noted and comp...

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Bibliographic Details
Published in:International journal of oral and maxillofacial surgery 2009-03, Vol.38 (3), p.241-245
Main Authors: Sugar, A.W, Gibbons, A.J, Patton, D.W, Silvester, K.C, Hodder, S.C, Gray, M, Snooks, H, Watkins, A
Format: Article
Language:English
Subjects:
Adolescent
Adult
Biological and medical sciences
Bone Plates
Dentistry
Female
Fracture Fixation, Internal - instrumentation
Fracture Fixation, Internal - methods
Humans
Injuries of the limb. Injuries of the spine
internal fixation
Male
mandibular angle fractures
Mandibular Fractures - surgery
Medical sciences
Middle Aged
mini-plates
Otorhinolaryngology. Stomatology
randomised controlled trial
Surgery
Traumas. Diseases due to physical agents
Treatment Outcome
Young Adult
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Summary:Abstract This study compared fixation of simple mandibular angle fractures with a single miniplate either placed from a combined transbuccal and intra-oral approach, or intra-orally alone. 140 consecutive patients were randomly allocated to the two treatment groups. Complications were noted and compared. An email questionnaire to all the participating surgeons examined their personal preferences between the two methods. 20% of plates needed to be removed during the 3 month study period in the combined transbuccal/intra-oral group compared with 36% in the intra-oral alone group ( p ≤ 0.05). For the small number of cases (5) that required additional fixation, there was no significant difference between the groups. The combined transbuccal/intra-oral procedure was safer and more effective than the standard intra-oral technique in terms of complications requiring further surgery. The surgeons expressed a strong preference (11/12) for fixation using the combined transbuccal/oral approach. The principal reasons given were ease of use, minimal requirement to bend the plate and facilitation of placement of the plate in the neutral mid-point area of the mandible.
ISSN:0901-5027
1399-0020
DOI:10.1016/j.ijom.2008.11.001