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. Patients and 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. Conclusion: The described percutaneous approach to mandibular angle fracture can be done effectively and safely using available and operatively fabricated disposable tools. (C) 2017 by Mutaz B. Habal, MD.

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