Archives of Craniofacial Surgery (대한두개안면성형외과학회지)

Korean Cleft Palate-Craniofacial Association (대한두개안면성형외과학회)
권호 표지
DOI QR코드

DOI QR Code

Treatment of Mandibular Angle Fractures

  • Lee, Jung-Ho (Department of Plastic and Reconstructive Surgery, College of Medicine, The Catholic University of Korea)
  • Received : 2017.01.02
  • Accepted : 2017.04.16
  • Published : 2017.06.20
Download PDF
⟨ Previous Next ⟩

Abstract

The management of mandibular angle fractures is often challenging and results in the highest complication rate among fractures of the mandible. In addition, the optimal treatment modality for angle fractures remains controversial. Traditional treatment protocols for angle fractures have involved rigid fixation with intraoperative maxillomandibular fixation (MMF) to ensure absolute stability. However, more recently, non-compression miniplates have gained in popularity and the use of absolute intraoperative MMF as an adjunct to internal fixation has become controversial. In this article, the history of, and current trends in, the treatment of mandibular angle fractures will be briefly reviewed. In addition, issues regarding the management of the third molar tooth will be discussed.

Keywords

References

  1. Allareddy V, Allareddy V, Nalliah RP. Epidemiology of facial fracture injuries. J Oral Maxillofac Surg 2011;69:2613-8.
  2. Haug RH, Prather J, Indresano AT. An epidemiologic survey of facial fractures and concomitant injuries. J Oral Maxillofac Surg 1990;48: 926-32.
  3. Wagner WF, Neal DC, Alpert B. Morbidity associated with extraoral open reduction of mandibular fractures. J Oral Surg 1979;37:97-100.
  4. Chuong R, Donoff RB, Guralnick WC. A retrospective analysis of 327 mandibular fractures. J Oral Maxillofac Surg 1983;41:305-9.
  5. Iizuka T, Lindqvist C. Rigid internal fixation of fractures in the angular region of the mandible: an analysis of factors contributing to different complications. Plast Reconstr Surg 1993;91:265-71.
  6. Ellis E 3rd, Walker L. Treatment of mandibular angle fractures using two noncompression miniplates. J Oral Maxillofac Surg 1994;52:1032-6.
  7. Ellis E 3rd. Treatment methods for fractures of the mandibular angle. Int J Oral Maxillofac Surg 1999;28:243-52.
  8. James RB, Fredrickson C, Kent JN. Prospective study of mandibular fractures. J Oral Surg 1981;39:275-81.
  9. Schmelzeisen R, McIff T, Rahn B. Further development of titanium miniplate fixation for mandibular fractures: experience gained and questions raised from a prospective clinical pilot study with 2.0 mm fixation plates. J Craniomaxillofac Surg 1992;20:251-6.
  10. Ellis E 3rd, Walker LR. Treatment of mandibular angle fractures using one noncompression miniplate. J Oral Maxillofac Surg 1996;54:864-71.
  11. Gear AJ, Apasova E, Schmitz JP, Schubert W. Treatment modalities for mandibular angle fractures. J Oral Maxillofac Surg 2005;63:655-63.
  12. Luhr HG. Vitallium Luhr systems for reconstructive surgery of the facial skeleton. Otolaryngol Clin North Am 1987;20:573-606.
  13. Schierle HP, Schmelzeisen R, Rahn B, Pytlik C. One- or two-plate fixation of mandibular angle fractures? J Craniomaxillofac Surg 1997;25:162-8.
  14. Michelet FX, Deymes J, Dessus B. Osteosynthesis with miniaturized screwed plates in maxillo-facial surgery. J Maxillofac Surg 1973;1:79-84.
  15. Champy M, Lodde JP, Schmitt R, Jaeger JH, Muster D. Mandibular osteosynthesis by miniature screwed plates via a buccal approach. J Maxillofac Surg 1978;6:14-21.
  16. Mehra P, Murad H. Internal fixation of mandibular angle fractures: a comparison of 2 techniques. J Oral Maxillofac Surg 2008;66:2254-60.
  17. 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 Maxillofac Surg 2014;72:2197-211.
  18. Choi BH, Kim KN, Kang HS. Clinical and in vitro evaluation of mandibular angle fracture fixation with the two-miniplate system. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 1995;79:692-5.
  19. Dichard A, Klotch DW. Testing biomechanical strength of repairs for the mandibular angle fracture. Laryngoscope 1994;104:201-8.
  20. Levy FE, Smith RW, Odland RM, Marentette LJ. Monocortical miniplate fixation of mandibular angle fractures. Arch Otolaryngol Head Neck Surg 1991;117:149-54.
  21. Valentino J, Marentette LJ. Supplemental maxillomandibular fixation with miniplate osteosynthesis. Otolaryngol Head Neck Surg 1995;112:215-20.
  22. Kumar I, Singh V, Bhagol A, Goel M, Gandhi S. Supplemental maxillomandibular fixation with miniplate osteosynthesis-required or not? Oral Maxillofac Surg 2011;15:27-30.
  23. Ellis E 3rd. Outcomes of patients with teeth in the line of mandibular angle fractures treated with stable internal fixation. J Oral Maxillofac Surg 2002;60:863-5.
  24. Tate GS, Ellis E 3rd, Throckmorton G. Bite forces in patients treated for mandibular angle fractures: implications for fixation recommendations. J Oral Maxillofac Surg 1994;52:734-6.
  25. Rai S, Pradhan R. Tooth in the line of fracture: its prognosis and its effects on healing. Indian J Dent Res 2011;22:495-6.
  26. Bobrowski AN, Sonego CL, Chagas Junior OL. Postoperative infection associated with mandibular angle fracture treatment in the presence of teeth on the fracture line: a systematic review and meta-analysis. Int J Oral Maxillofac Surg 2013;42:1041-8.

Cited by

  1. A Comparative Assessment of the Management of Mandibular Angle Fractures using 3D Plates and 2D Mini Plates vol.21, pp.4, 2017, https://doi.org/10.5005/jp-journals-10024-2787
  2. Application of Finite Element Analysis in Oral and Maxillofacial Surgery—A Literature Review vol.13, pp.14, 2017, https://doi.org/10.3390/ma13143063