Comparison of Transbuccal Versus Transoral Approach For Management of Mandibular Angle Fractures

Amna Hassan; Yumna Shafqat  Baig; Muhammad  Afzal; Adnan  Babar; Ali Akhtar  Khan; Nazir  Khan

doi:10.51253/pafmj.v75i5.10271

Authors

Amna Hassan Department of Oral Maxillofacial Surgery, Armed Forces Institute of Dentistry Rawalpindi/National University of Medical Sciences (NUMS) Pakistan
Yumna Shafqat Baig Department of Oral Maxillofacial Surgery, Armed Forces Institute of Dentistry Rawalpindi/National University of Medical Sciences (NUMS) Pakistan
Muhammad Afzal Department of Oral Maxillofacial Surgery, MDC Lahore Pakistan
Adnan Babar Department of Oral Maxillofacial Surgery, Armed Forces Institute of Dentistry Rawalpindi/National University of Medical Sciences (NUMS) Pakistan
Ali Akhtar Khan Department of Oral Maxillofacial Surgery, Armed Forces Institute of Dentistry Rawalpindi/National University of Medical Sciences (NUMS) Pakistan
Nazir Khan Department of Oral Maxillofacial Surgery, Armed Forces Institute of Dentistry Rawalpindi/National University of Medical Sciences (NUMS) Pakistan

DOI:

https://doi.org/10.51253/pafmj.v75i5.10271

Keywords:

Endoscopy, Intraoral Surgery, Mandibular Fractures, Surgical Wound Infection

Abstract

Objective: To compare the outcomes of a transbuccal approach with an intraoral approach for managing mandibular angle fractures.

Study Design: Quasi-experimental study.

Place and Duration of Study: Armed Forces Institute of Dentistry (AFID), Rawalpindi, Pakistan, from May 2021 to May 2022.

Methodology: A total of 140 patients with mandibular angle fractures with an age range of 15–60 years were enrolled. Group-l was treated using transbuccal approach, and Group-2 using intraoral approach. Measurements of the fracture gap were conducted on three defined points with a manual ruler. All patients were instructed to have follow-up visits at 1 week, 1 month, and 3 months postoperatively. On follow-up visit after 1 week, occlusal discrepancy was noted, whether present or not, after 3 months, infection if present, was noted, necessitating the removal of all infected hardware.

Results: Mean percentage of patients treated with the intraoral approach who developed occlusal discrepancy at 1 week postoperatively was 45.71% compared with 8.58% patients who were treated with transbuccal approach. Postoperative infection after 3 months was found to be 10.0% with transbuccal approach, compared to 32.86% with intraoral approach.

Conclusion: In comparison to intraoral technique, transbuccal approach to managing mandibular angle fractures offered superior fracture reduction and reduced infection and occlusal discrepancy.

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