The Efficacy of Fixation of Unilateral Mandibular Angle Fracture with Single 3D Plate vs Single Miniplate Using Transbuc
- PDF / 972,198 Bytes
- 8 Pages / 595.276 x 790.866 pts Page_size
- 112 Downloads / 137 Views
ORIGINAL ARTICLE
The Efficacy of Fixation of Unilateral Mandibular Angle Fracture with Single 3D Plate vs Single Miniplate Using Transbuccal Approach Nancy Mathew1,2 • Inderjot Singh1 • Sumir Gandhi1 • Manisha Solanki1 Navpreet Singh Bedi1
•
Received: 21 July 2020 / Accepted: 6 October 2020 Ó The Association of Oral and Maxillofacial Surgeons of India 2020
Abstract Introduction The management of mandibular angle fractures is often challenging and results in the highest rate of complications. The optimal treatment modality still remains controversial. This study was done to compare the treatment outcomes of single 3D plate versus single miniplate. Objective The objective was to compare and evaluate the clinical and radiological outcome in patients who underwent treatment with single 3D plate versus single miniplate using transbuccal approach for unilateral angle fractures with other associated mandibular fractures. Methodology A randomized control study was done in 12 patients with unilateral angle fracture who were divided into two groups. Group A patients were treated using single 3D plates, and Group B patients were treated using single miniplates. Study parameters were evaluated at different time intervals. Results The results of the study showed that postoperatively in Group A, fracture reduction, occlusion and mouth & Nancy Mathew [email protected] Inderjot Singh [email protected] Sumir Gandhi [email protected] Manisha Solanki [email protected] Navpreet Singh Bedi [email protected] 1
Department of Oral and Maxillofacial Surgery, Christian Dental College, CMC, Ludhiana, Punjab 141008, India
2
Present Address: New Delhi, India
opening were comparatively better than Group B. Hardware failure was seen in one patient in Group B. Postoperative morbidities showed no statistical difference. Conclusion The single 3D plates showed a statistically insignificant advantage over single miniplates, although clinically Group A proved better than Group B with respect to the study parameters. Therefore, we recommend the use of single 3D plates for effective unilateral angle fracture treatment. More studies are required to prove the significant statistical significance. Keywords Mandibular angle fracture Single 3D plates Single miniplates Transbuccal approach
Introduction The foremost fracture usually sustained in maxillofacial trauma are fractures of the mandible. Of the fractures of the mandible, 25–33% are accounted for in the mandibular angle [1]. Not only does the mandibular angle account for the highest incidence in fractures, it also precedes other mandibular fractures in complications ranging from 0 to 32% [2]. Since the complications caused by mandibular angle fracture (MAF) postoperatively are very high, this study is pertinent because it compares the most accepted outmoded superior border plating on the external oblique ridge with the recent 3D plate on the lateral surface of the mandible using a transbuccal trocar. There is a paucity of literature on this subject, since as
Data Loading...
