Treatment of mandibular angle fractures using transbuccal technique osteosynthesis. Preliminary study of 32 cases
Constantinos MOUROUZIS, Eleni PARARA, Michael MEZITIS, George RALLIS
Department of Oral & Maxillofacial Surgery, General Hospital of Attica “KAT”, Greece, (Head: Dr G. Rallis)
Hellenic Archives of Oral & Maxillofacial Surgery (2016) 3, 107-114
SUMMARY: The open reduction and internal fixation of the mandibular angle fractures using the transbuccal technique is one of the most modern treatment method of these fractures.
Aim: a preliminary study of case series of mandibular angle fractures treated exclusively with transbuccal technique, the personal experience, the advantages and the possible complications of the technique reported.
Patients and Methods: Patients with mandibular angle frac- tures, treated with intraoral reduction and fixation through transbuccal approach with one or two mini plates 2.0 mm, were included in the study.
Results: 29 patients with 32 mandibular angle fractures were treated. The most common cause of injury was the interpersonal violence (54%). The time of surgery was on average 39 min and had happened 7 days post-injury. No postoperative infection was observed and no plates were removed.
Conclusions: The transbuccal approach of osteosynthesis is a surgical technique for the treatment of mandibular angle fractures, preferred by more and more surgeons due to low postoperative complications rate and brief time of surgery.
KEY WORDS: Fracture, mandibular angle, transbuccal technique
REFERENCES
Al-Moraissi EA, Ellis E 3rd.: What method for management of unilateral mandibular angle fractures has the lowest rate of postoperative complications? A systematic review and meta-analysis. J Oral Max- illofac Surg. 72: 2197-211, 2014.
Beza SA, Attia S, Ellis E, Omara L.: A Comparative Study of Transbuccal and Extraoral Approaches in the Management of Mandibular Angle Fractures: A Systematic Review. Open Access Maced J Med Sci. 15:482-488, 2016.
Biller JA, Pletcher SD, Goldberg AN, Murr AH.: Complications and the time to repair of mandible fractures. Laryngoscope 115: 769-772, 2005.
Champy M, Loddé JP, Schmitt R, Jaeger JH, Muster D.: Mandibular os- teosynthesis with miniaturized screwed plates via buccal approach. J maxillofac Surg 6: 14- 21, 1978.
de Matos FP, Arnez MF, Sverzut CE, Trivellato AE.: A retrospective study of mandibular fracture in a 40-month period. Int J Oral Max- illofac Surg 39: 10-15, 2010.
Ellis E, Walker L.: Treatment of mandibular angle fractures using one non-compression miniplate. J Oral Maxillofac Surg 54: 864-871, 1996.
Ellis E.: Treatment method for fracture of the mandible angle. Int J Oral Maxillofac Surg 28: 243-252, 1999.
Ellis E 3rd, Price C.: Treatment protocol for fractures of the atrophic mandible. J Oral Maxillofac Surg 66: 421-35, 2008.
Fox AJ, Kellman RM.: Mandibular angle fractures: two-miniplate fixation and complications. Arch Facial Plast Surg 5: 464-469, 2003
Iatrou I., Theologie-Lygidakis N., Tzermpos F., Kamperos G.: Internal fixation of mandibular angle fractures using one miniplate in Greek children: a 5-year retrospective study. J Craniomaxillofac Surg 43: 53-56, 2015.
Kale TP, Baliga SD, Ahuja N, Kotrashetti SM.: A comparative study be- tween transbuccal and extra-oral approaches in treatment of mandibular fractures. J Maxillofac Oral Surg 9:9-12, 2010.
Kuriakose M. Fardy M, Sirikumara M, Patton D, Sugar A.: A comparative review of 266 mandibular fractures with internal fixation using rigid (AO) plates or miniplates. Br J oral Maxillofac Surg 34: 315- 321, 1996.
Laverick S, Siddappa P, Wong H, Patel P, Jones DC.: Intraoral external oblique ridge compared with transbuccal lateral cortical plate fixa- tion for the treatment of fractures of the mandibular angle: prospec- tive randomised trial. Br J Oral Maxillofac Surg 50:344-9, 2012.
Michelet FX, Deymes J, Dessus B.: Osteosynthesis with miniaturized screwed plates in Maxillofacial surgery. J Maxillofacial Surg 1:79- 84, 1973.
Rallis G, Mourouzis C, Papakosta V, Papanastasiou G, Zachariades N.: Reasons for miniplate removal following maxillofacial trauma: A 4-year study. J Cranio Maxillofac Surg 34, 435-439, 2006.
Spiessl B.: Rigid internal fixation of the lower jaw. Reconstruction Sur- gery & Traumatology 13: 124-140, 1972.
Sugar AW, Gibbons AJ, Patton DW, Silvester KC, Hodder SC, Gray M, Snooks H, Watkins A.: A randomised controlled trial compar- ing fixation of mandibular angle fractures with a single miniplate placed either transbuccally and intra-orally, or intra-orally alone. Int J Oral Maxillofac Surg 38:241-5, 2009.
Toma VS, Mathod HR, Toma SR, Meleca JR.: Transoral versus extraoral reduction of mandible fractures: a comparison of complication rates and other factors. Otolaryngol Head Neck Surg 128: 215- 219, 2003.
Wan K, Williamson RA, Gebauer D, Hird K.: Open reduction and in- ternal fixation of mandibular angle fractures: does the transbuccal technique produce fewer complications after treatment than the transoral technique? J Oral Maxillofac Surg, 70:2620-8, 2012.
Department of Oral & Maxillofacial Surgery, General Hospital of Attica “KAT”, Greece, (Head: Dr G. Rallis)
Hellenic Archives of Oral & Maxillofacial Surgery (2016) 3, 107-114
SUMMARY: The open reduction and internal fixation of the mandibular angle fractures using the transbuccal technique is one of the most modern treatment method of these fractures.
Aim: a preliminary study of case series of mandibular angle fractures treated exclusively with transbuccal technique, the personal experience, the advantages and the possible complications of the technique reported.
Patients and Methods: Patients with mandibular angle frac- tures, treated with intraoral reduction and fixation through transbuccal approach with one or two mini plates 2.0 mm, were included in the study.
Results: 29 patients with 32 mandibular angle fractures were treated. The most common cause of injury was the interpersonal violence (54%). The time of surgery was on average 39 min and had happened 7 days post-injury. No postoperative infection was observed and no plates were removed.
Conclusions: The transbuccal approach of osteosynthesis is a surgical technique for the treatment of mandibular angle fractures, preferred by more and more surgeons due to low postoperative complications rate and brief time of surgery.
KEY WORDS: Fracture, mandibular angle, transbuccal technique
REFERENCES
Al-Moraissi EA, Ellis E 3rd.: What method for management of unilateral mandibular angle fractures has the lowest rate of postoperative complications? A systematic review and meta-analysis. J Oral Max- illofac Surg. 72: 2197-211, 2014.
Beza SA, Attia S, Ellis E, Omara L.: A Comparative Study of Transbuccal and Extraoral Approaches in the Management of Mandibular Angle Fractures: A Systematic Review. Open Access Maced J Med Sci. 15:482-488, 2016.
Biller JA, Pletcher SD, Goldberg AN, Murr AH.: Complications and the time to repair of mandible fractures. Laryngoscope 115: 769-772, 2005.
Champy M, Loddé JP, Schmitt R, Jaeger JH, Muster D.: Mandibular os- teosynthesis with miniaturized screwed plates via buccal approach. J maxillofac Surg 6: 14- 21, 1978.
de Matos FP, Arnez MF, Sverzut CE, Trivellato AE.: A retrospective study of mandibular fracture in a 40-month period. Int J Oral Max- illofac Surg 39: 10-15, 2010.
Ellis E, Walker L.: Treatment of mandibular angle fractures using one non-compression miniplate. J Oral Maxillofac Surg 54: 864-871, 1996.
Ellis E.: Treatment method for fracture of the mandible angle. Int J Oral Maxillofac Surg 28: 243-252, 1999.
Ellis E 3rd, Price C.: Treatment protocol for fractures of the atrophic mandible. J Oral Maxillofac Surg 66: 421-35, 2008.
Fox AJ, Kellman RM.: Mandibular angle fractures: two-miniplate fixation and complications. Arch Facial Plast Surg 5: 464-469, 2003
Iatrou I., Theologie-Lygidakis N., Tzermpos F., Kamperos G.: Internal fixation of mandibular angle fractures using one miniplate in Greek children: a 5-year retrospective study. J Craniomaxillofac Surg 43: 53-56, 2015.
Kale TP, Baliga SD, Ahuja N, Kotrashetti SM.: A comparative study be- tween transbuccal and extra-oral approaches in treatment of mandibular fractures. J Maxillofac Oral Surg 9:9-12, 2010.
Kuriakose M. Fardy M, Sirikumara M, Patton D, Sugar A.: A comparative review of 266 mandibular fractures with internal fixation using rigid (AO) plates or miniplates. Br J oral Maxillofac Surg 34: 315- 321, 1996.
Laverick S, Siddappa P, Wong H, Patel P, Jones DC.: Intraoral external oblique ridge compared with transbuccal lateral cortical plate fixa- tion for the treatment of fractures of the mandibular angle: prospec- tive randomised trial. Br J Oral Maxillofac Surg 50:344-9, 2012.
Michelet FX, Deymes J, Dessus B.: Osteosynthesis with miniaturized screwed plates in Maxillofacial surgery. J Maxillofacial Surg 1:79- 84, 1973.
Rallis G, Mourouzis C, Papakosta V, Papanastasiou G, Zachariades N.: Reasons for miniplate removal following maxillofacial trauma: A 4-year study. J Cranio Maxillofac Surg 34, 435-439, 2006.
Spiessl B.: Rigid internal fixation of the lower jaw. Reconstruction Sur- gery & Traumatology 13: 124-140, 1972.
Sugar AW, Gibbons AJ, Patton DW, Silvester KC, Hodder SC, Gray M, Snooks H, Watkins A.: A randomised controlled trial compar- ing fixation of mandibular angle fractures with a single miniplate placed either transbuccally and intra-orally, or intra-orally alone. Int J Oral Maxillofac Surg 38:241-5, 2009.
Toma VS, Mathod HR, Toma SR, Meleca JR.: Transoral versus extraoral reduction of mandible fractures: a comparison of complication rates and other factors. Otolaryngol Head Neck Surg 128: 215- 219, 2003.
Wan K, Williamson RA, Gebauer D, Hird K.: Open reduction and in- ternal fixation of mandibular angle fractures: does the transbuccal technique produce fewer complications after treatment than the transoral technique? J Oral Maxillofac Surg, 70:2620-8, 2012.
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