Treatment of mandibular angle fractures using one noncompression miniplate
1Division of Oral and Maxillofacial Surgery, University of Texas Southwestern Medical Center, Dallas 75235-9109, USA.
Summary
A single miniplate effectively treats mandibular angle fractures. This reliable technique resulted in few major complications, with most minor issues managed non-surgically.
Area of Science:
- Oral and Maxillofacial Surgery
- Trauma Surgery
Background:
- Mandibular angle fractures are common facial injuries.
- Treatment aims to restore function and aesthetics.
Purpose of the Study:
- To evaluate the efficacy of using a single miniplate for mandibular angle fracture repair.
- To assess complication rates associated with this surgical technique.
Main Methods:
- Prospective study of 81 patients with mandibular angle fractures.
- Open reduction and internal fixation with a single 2.0-mm noncompression miniplate via transoral incision.
- No maxillomandibular fixation used post-surgery.
Main Results:
- 16% of patients experienced complications requiring secondary intervention.
- Most complications (11/13) were minor, managed outpatient.
- Two major complications required hospitalization and IV antibiotics; one resulted in fibrous union.
Conclusions:
- Single miniplate fixation is a simple and reliable method for mandibular angle fractures.
- The technique demonstrates a low rate of significant complications.
- Outpatient management is feasible for most minor complications.
