title: [Selection of the method of surgical approach in plate osteosynthesis of mandibular fractures].
abstract: BACKGROUND
  Plateosteosynthesis by intraoral approach of mandibular fractures gives the best cosmetical result but presents a rather difficult procedure.
  
  
  OBJECTIVE
  Comparison of intra- versus extraoral approach in plateosteosynthesis of mandibular fractures.
  
  
  METHODS
  Plate type, experience of the surgeon, age and sex of the patient, as well as hospital stay and rate of the septic complications were analysed retrospectively in 248 patients of the OMF Department (University Freiburg) with mandibular fractures with respect in view of the operative approach used.
  
  
  RESULTS
  The method of osteosynthesis was found to be the strongest determinant. Concerning the surgical approach significant correlation was found between age and sex, and surgical experience. Operative approach was found to have no effect on hospitalization and septic complications.
  
  
  CONCLUSIONS
  Operative approach does not have either medical nor economical consequences in the surgical management of mandibula fractures.
authors.affiliation: Semmelweis Orvostudományi Egyetem Szájsebészeti és Fogászati Klinika, Budapest.
authors.forename: L
authors.initials: L
authors.lastname: Seper
authors.forename: V
authors.initials: V
authors.lastname: Gyenes
authors.forename: P
authors.initials: P
authors.lastname: Stoll
authors.forename: R
authors.initials: R
authors.lastname: Wächter
authors.forename: W
authors.initials: W
authors.lastname: Schilli
mesh_terms: D000367:Age Factors; D001860:Bone Plates; D005260:Female; D006801:Humans; D008297:Male; D008337:Mandibular Fractures / Q000601:surgery*; D012737:Sex Factors; D013515:Surgery, Oral / Q000379:methods
vernacular_title: A mütéti feltárás megválasztása állkapocstörések lemezes oszteoszintézisekor.