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Published on: September 27, 2024
Analysis of 115 mandibular angle fractures.
Aleysson O Paza1, Allan Abuabara, Luis A Passeri
1Division of Oral and Maxillofacial Surgery, Joinville University-Univille, Santa Catarina, Brazil.
Summary
Mandibular angle fractures are common in Caucasian men, often resulting from altercations. Postoperative complications are linked to social risk factors like drug abuse, not just fixation methods.
Area of Science:
- Oral and Maxillofacial Surgery
- Trauma Surgery
Background:
- Fractures of the mandibular angle are a significant concern in oral and maxillofacial surgery.
- Understanding the demographics, causes, and outcomes associated with these fractures is crucial for effective management.
Purpose of the Study:
- To analyze personal data, social traits, fracture characteristics, treatment, and complications of mandibular angle fractures.
- To identify factors influencing postoperative outcomes in patients with mandibular angle fractures.
Main Methods:
- Retrospective review of 115 mandibular angle fractures in 114 patients treated between April 1999 and July 2004.
- Data collected included patient demographics, fracture etiology, injury patterns, treatment approach (primarily open reduction), and postoperative complications.
Main Results:
- The study observed a higher incidence in Caucasian men (89%), with a mean age of 27.
- Altercations (43% gunshot, 39% vehicle accidents) were the primary cause of fractures, predominantly open (90%) and on the left side (57%).
- Complications occurred in 17% of patients, with infections being the most common (9%); social risk factors (alcohol, smoking, drug abuse) were associated with complications.
Conclusions:
- Mandibular angle fracture outcomes are influenced by various factors, extending beyond the chosen fixation technique.
- Social risk factors play a significant role in the development of postoperative complications, highlighting the need for comprehensive patient assessment and management.
