Comparison between intra-oral versus trans-buccal approach for treatment of mandibular angle fractures.

摘要

Objectives: The aim of this study was to compare the outcomes like infectionand swelling by using two different techniques (intra-oral versus trans-buccal) to treat thefracture of the angle of mandible. Study Design: Comparative Cross-sectional study. Setting:Department of Oral & Maxillofacial Surgery, Liaquat University of Medical & Health Sciences,Jamshoro. Period: 1st Feb 2017 to 30th Dec 2017. Material and Methods: All the patients ageranges from 18years to 45years, patient having isolated mandibular angle fracture either genderwas included in the study Patients were divided into two groups by lottery method in groupA (Intra-oral approach) and group B (Trans-buccal approach). Orthopantomography (OPG)and Posterior-Anterior (PA) view of face were the two radiographs taken to confirm diagnosis.Results: Mostly young patients were found in both groups with mandibular angle fracture as54.3% patients of group A and 43.5% patients of group B with age group of 18- 30 years.Male gender was most common 95.7%. On 1st postoperative week infection was found onlyin one cases of group B, while no any cases were found with pain in group. Conclusion: Theresults of this study concluded that both techniques are the reliable and showed good outcomeparticularly as; infection rate was significantly decreased in intra oral approach as compare totrans-buccal approach.