Treatment methods for fractures of the mandibular angle.
Fractures of the mandibular angle are plagued with the highest rate of complication of all mandibular fractures. Over the past 8 years, the following six accepted forms of treatment for these fractures were performed on an indigent inner-city population: closed reduction or intra-oral open reduction and nonrigid fixation; extraoral open reduction and internal fixation with an AO/ASIF reconstruction bone plate; and intraoral open reduction and internal fixation using either two 2.0 mm minidynamic compression plates, two 2.4 mm mandibular dynamic compression plates, two noncompression miniplates, or a single noncompression miniplate. This article reviews the results of those treatment modalities when used for the same patient population at one hospital. Results show that the use of either an extraoral open reduction and internal fixation with the AO/ASIF reconstruction plate or intraoral open reduction and internal fixation using a single miniplate was associated with the fewest complications.
Ellis
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University of Texas Southwestern Medical Center, 5323 Harry Hines Boulevard, Dallas, TX 75235-9109, USA.
D001860:Bone Plates / Q000145:classification; D001864:Bone Wires; D004867:Equipment Design; D005500:Follow-Up Studies; D005592:Fracture Fixation / Q000009:adverse effects / Q000379:methods; D005593:Fracture Fixation, Internal / Q000009:adverse effects / Q000295:instrumentation / Q000379:methods; D017102:Fracture Healing; D018460:Fractures, Comminuted / Q000000981:diagnostic imaging / Q000601:surgery; D017759:Fractures, Malunited / Q000209:etiology; D006801:Humans; D007431:Intraoperative Complications; D019248:Jaw Fixation Techniques / Q000009:adverse effects / Q000295:instrumentation; D008310:Malocclusion / Q000209:etiology; D008337:Mandibular Fractures / Q000145:classification / Q000000981:diagnostic imaging / Q000601:surgery*; D011183:Postoperative Complications; D011859:Radiography; D012189:Retrospective Studies; D013530:Surgical Wound Infection / Q000209:etiology; D014081:Tooth Extraction; D018677:Tooth Injuries / Q000209:etiology; D016896:Treatment Outcome