Abstract

A COMPARATIVE STUDY IN FIXATION OF MANDIBULAR ANGLE FRACTURE WITH A SINGLE MINIPLATE PLACED EITHER TRANSBUCCALLY AND INTRAORALLY OR INTRAORALLY ALONE

Vishal*, Mohsin Khan, Arun K. Goyal, Tarique Ansari and Ashish Kumar

Abstract

Aim and Objectives: The aim of this study is to evaluate various parameters which includes various difficulties faced by the surgeon, total time taken for procedure and post-operative complication in fixation of mandibular angle fracture with single miniplate placed either transbucally and intraorally or intraorally alone. Material and Methods: Patients with Mandibular Angle Fracture were selected for the study from department of Oral & Maxillofacial surgery at Teerthanker Mahaveer Dental College, Moradabad. The patients after inclusion were randomly divided into two group, Group A and Group B (10 patients in each group). In the group A, fixation was carried out in the area of the external oblique line of the mandible, with miniplate through intraoral approach. In group B, fixation was done through intraoral incision and transbuccal approach combined using transbuccal trochar instrumentation. Results: After 2 weeks 8 patients in Intra-oral group had swelling compared to 9 in Combined group. But after 4 weeks none of the patients in combined group had swelling comparing 2 in the Intra-oral group. Post –operative infection was less in combined group (0) after 2 weeks comparing Intra-oral group (2). Result shows that infection, wound dehiscence and plate exposure are directly interrelated. The chances of plate exposure and post- operative infection is proportional to wound dehiscence Intra- oral group had more change of above three complication. Conclusion: Although Intra-oral and Transbuccal combined approached had better outcome than Intra-oral alone approach. Further more study with more sample sizeis required for definite conclusion.

Keywords: Intra-oral approach; Mandibular angle fracture; Transbuccal approach.