Simple Percutaneous Transbuccal Approach for Management of Mandibular Angular Fracture.
OBJECTIVE
To describe a relatively simple, easy, and safe technique for open reduction and internal fixation of the mandibular angle fracture using the combined modified percutaneous and oral approach with no special instrumentation.


METHODS
This study was carried out on 10 patients who had traumatic mandibular angle fractures. All patients were managed by open reduction and internal fixation. Intraoral exposure and reduction of the fracture was performed through the gingivolabial incision. Then, a modified percutaneous-transbuccal way was utilized for conduction of the microdrill shaft and screw driver to permit screws fixation with perpendicular relations between plate and inserted screws.


RESULTS
There were no registered soft tissue infections, wound dehiscence, occlusal defects, or facial nerve paresis. The mean surgical duration was 39.7 ± 11.5 minutes. No patients were recorded to have unsatisfactory external scar and further intervention was not required.


CONCLUSIONS
The described percutaneous approach to mandibular angle fracture can be done effectively and safely using available and operatively fabricated disposable tools.
Otorhinolaryngology-Head and Neck Surgery Department, Faculty of Medicine, Zagazig University, Zagazig, Egypt.
Mohammad Waheed
MW
El-Anwar
Ahmed Hassan
AH
Sweed
D000293:Adolescent; D000328:Adult; D001860:Bone Plates; D001863:Bone Screws; D005593:Fracture Fixation, Internal / Q000379:methods*; D006801:Humans; D008297:Male; D008337:Mandibular Fractures / Q000601:surgery*; D000070799:Open Fracture Reduction / Q000379:methods*; D061646:Operative Time; D055815:Young Adult