Treatment of mandibular angle fractures using two mini dynamic compression plates

Edward Ellis, Nestor Karas

Research output: Contribution to journalArticle

63 Citations (Scopus)

Abstract

Thirty patients with 31 fractures of the mandibular angle were treated by open reduction and internal fixation using two mini dynamic compression plates with self-threading screws placed through a transoral incision with transbuccal trochar instrumentation. None of the patients were placed into postsurgical maxillomandibular fixation (MMF) or training elastics. Complications requiring secondary surgical intervention occurred in nine fractures (29%). Three were early infections requiring incision and drainage, removal of the hardware, and postoperative MMF. One was a nonunion with malocclusion requiring application of a more rigid bone plate. Five fractures developed late chronic swelling and low-grade infection requiring plate removal. Osseous union had occurred in these cases and no MMF was necessary. The use of two mini dynamic compression plates in the manner done in this study was found to be a relatively easy but unpredictable treatment for fractures of the mandibular angle.

Original languageEnglish (US)
Pages (from-to)958-963
Number of pages6
JournalJournal of Oral and Maxillofacial Surgery
Volume50
Issue number9
DOIs
StatePublished - 1992
Externally publishedYes

Fingerprint

Jaw Fixation Techniques
Mandibular Fractures
Bone Plates
Malocclusion
Infection
Drainage
Therapeutics

ASJC Scopus subject areas

  • Surgery
  • Dentistry(all)

Cite this

Treatment of mandibular angle fractures using two mini dynamic compression plates. / Ellis, Edward; Karas, Nestor.

In: Journal of Oral and Maxillofacial Surgery, Vol. 50, No. 9, 1992, p. 958-963.

Research output: Contribution to journalArticle

@article{68c8257df3434cb184bba4901bfbcaa2,
title = "Treatment of mandibular angle fractures using two mini dynamic compression plates",
abstract = "Thirty patients with 31 fractures of the mandibular angle were treated by open reduction and internal fixation using two mini dynamic compression plates with self-threading screws placed through a transoral incision with transbuccal trochar instrumentation. None of the patients were placed into postsurgical maxillomandibular fixation (MMF) or training elastics. Complications requiring secondary surgical intervention occurred in nine fractures (29{\%}). Three were early infections requiring incision and drainage, removal of the hardware, and postoperative MMF. One was a nonunion with malocclusion requiring application of a more rigid bone plate. Five fractures developed late chronic swelling and low-grade infection requiring plate removal. Osseous union had occurred in these cases and no MMF was necessary. The use of two mini dynamic compression plates in the manner done in this study was found to be a relatively easy but unpredictable treatment for fractures of the mandibular angle.",
author = "Edward Ellis and Nestor Karas",
year = "1992",
doi = "10.1016/0278-2391(92)90055-5",
language = "English (US)",
volume = "50",
pages = "958--963",
journal = "Journal of Oral and Maxillofacial Surgery",
issn = "0278-2391",
publisher = "W.B. Saunders Ltd",
number = "9",

}

TY - JOUR

T1 - Treatment of mandibular angle fractures using two mini dynamic compression plates

AU - Ellis, Edward

AU - Karas, Nestor

PY - 1992

Y1 - 1992

N2 - Thirty patients with 31 fractures of the mandibular angle were treated by open reduction and internal fixation using two mini dynamic compression plates with self-threading screws placed through a transoral incision with transbuccal trochar instrumentation. None of the patients were placed into postsurgical maxillomandibular fixation (MMF) or training elastics. Complications requiring secondary surgical intervention occurred in nine fractures (29%). Three were early infections requiring incision and drainage, removal of the hardware, and postoperative MMF. One was a nonunion with malocclusion requiring application of a more rigid bone plate. Five fractures developed late chronic swelling and low-grade infection requiring plate removal. Osseous union had occurred in these cases and no MMF was necessary. The use of two mini dynamic compression plates in the manner done in this study was found to be a relatively easy but unpredictable treatment for fractures of the mandibular angle.

AB - Thirty patients with 31 fractures of the mandibular angle were treated by open reduction and internal fixation using two mini dynamic compression plates with self-threading screws placed through a transoral incision with transbuccal trochar instrumentation. None of the patients were placed into postsurgical maxillomandibular fixation (MMF) or training elastics. Complications requiring secondary surgical intervention occurred in nine fractures (29%). Three were early infections requiring incision and drainage, removal of the hardware, and postoperative MMF. One was a nonunion with malocclusion requiring application of a more rigid bone plate. Five fractures developed late chronic swelling and low-grade infection requiring plate removal. Osseous union had occurred in these cases and no MMF was necessary. The use of two mini dynamic compression plates in the manner done in this study was found to be a relatively easy but unpredictable treatment for fractures of the mandibular angle.

UR - http://www.scopus.com/inward/record.url?scp=0026742736&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0026742736&partnerID=8YFLogxK

U2 - 10.1016/0278-2391(92)90055-5

DO - 10.1016/0278-2391(92)90055-5

M3 - Article

C2 - 1506972

AN - SCOPUS:0026742736

VL - 50

SP - 958

EP - 963

JO - Journal of Oral and Maxillofacial Surgery

JF - Journal of Oral and Maxillofacial Surgery

SN - 0278-2391

IS - 9

ER -