Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

Mandibular angle fractures: two-miniplate fixation and complications.

Albert J Fox1, Robert M Kellman

  • 1Department of Otolaryngology and Communication Sciences, Upstate Medical University, Syracuse, NY 13210, USA.

Archives of Facial Plastic Surgery
|November 19, 2003
PubMed
Summary

Two-miniplate fixation of mandibular angle fractures offers reliable outcomes with minimal complications. This technique demonstrated no malunion, nonunion, or osteomyelitis, with a low infection rate of 2.9%.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Rehabilitation Surgery for Peripheral Facial Nerve Injury after Facial Trauma.

International archives of otorhinolaryngology·2024
Same author

Reducing Surgical Risks in a Rhytidectomy.

Facial plastic surgery clinics of North America·2023
Same author

The Anatomic Landmark Approach to Extratemporal Facial Nerve Repair in Facial Trauma.

Cureus·2022
Same author

Controversies in Facial Plastic Surgery.

Facial plastic surgery clinics of North America·2018
Same author

Skull Base Trauma: Clinical Considerations in Evaluation and Diagnosis and Review of Management Techniques and Surgical Approaches.

Seminars in plastic surgery·2017
Same author

Current Management of Subcondylar Fractures of the Mandible, Including Endoscopic Repair.

Facial plastic surgery clinics of North America·2017

Area of Science:

  • Oral and Maxillofacial Surgery
  • Trauma Surgery
  • Orthognathic Surgery

Background:

  • Noncompression monocortical miniplate fixation is a standard for mandibular angle fractures.
  • However, high complication rates are frequently reported for internal fixation of these fractures.

Purpose of the Study:

  • To evaluate the outcomes and complication rates associated with two-miniplate fixation for mandibular angle fractures.

Main Methods:

  • Retrospective analysis of 68 patients (70 fractures) treated with two-miniplate fixation at a level 1 trauma center.
  • Data collected included trauma-to-treatment time, injury cause, associated fractures, and postoperative complications.
  • Follow-up extended to 12 weeks, with radiographic assessment.

Main Results:

Related Experiment Videos

  • No cases of malunion, nonunion, or osteomyelitis were observed.
  • Overall complication rate was 17.6%, with infection in 2.9% of patients (treated with antibiotics).
  • Occlusal disturbances (5.9%) and wound dehiscence (5.9%) were noted, often associated with multiple facial fractures.

Conclusions:

  • Two-miniplate fixation provides reliable and effective rigid fixation for mandibular angle fractures.
  • The complication and infection rates are comparable or superior to single-plate techniques.
  • Further research is needed to establish the optimal approach for noncompression monocortical fixation of angle fractures.