Open Reduction and Internal Fixation of Mandibular Angle Fractures: Does the Transbuccal Technique Produce Fewer Complications After Treatment Than the Transoral Technique?

Clinical outcomes of three different types of hardware for the treatment of mandibular angle fractures: a comparative retrospective study

“…It has been reported that if the buccal cortex proximal and distal to the fracture line is too thin, it prevents the screw from fully engaging with the bone and providing sufficient long-term mechanical retention. 24 Additionally, the authors believe that the reasons for screw loosening include the following: over-checking, which is performed intraoperatively to ensure the proper engagement of the screw into the bone, and the placement of the plate more inferiorly into the inferior border.…”

“…However, many other studies are not in agreement with this suggestion and rather indicate that wound dehiscence occurs as a result of secondary infection. 1,24 All of the patients in this study had either an unerupted or partially erupted third molar. The patients who underwent third molar extraction did not develop infections at any point in the follow-up period, and only one case with an impacted third molar developed an infection.…”

“…The risk of developing an unfavourable facial scar and motor nerve damage were eliminated with the use of the lag screw, which was inserted through the intraoral approach. However, Sugar et al 25 and Wan et al 24 have reported that the risk of causing an unfavourable scar is extremely low and that the risk of facial nerve palsy is negligible when the transbuccal approach is used.…”

Standard 3D Titanium Miniplate Versus Locking 3D Miniplate in Fracture of Mandible: A Prospective Comparative Study

“…In transbuccal approach a stab incision was made taking care of vital structures and normal crease over the skin. Wan et al [11] explained that the relative risk of complications using the transoral The rate of complications was 1.71 times greater with the transoral technique than with the transbuccal technique. A total of 12 3D plates were used (square/rectangular) in locking group and 13 3D plates (square/rectangular) were used in non-locking group.…”

Outcome of Comminuted Mandibular Fracture Repair Using an Intraoral Approach for Osteosynthesis

“…However, this transbuccal incision carries a small risk of damage to adjacent nerves, vessels, and the parotid gland, although the review of literature and the experience of this study show that this is a very rare to negligible complication. [17][18][19] Comminuted mandibular fractures tend to have a worse outcome with a prolonged recovery time, and postoperative inflammatory complications are common. 20,21 The intraoral approach is another risk factor for increasing the inflammatory complication rate, since the fracture will become exposed to oral bacteria.…”