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

Abstract

Objectives: The aim of this study was to compare the outcomes like infection and swelling by using two different techniques (intra-oral versus trans-buccal) to treat the fracture 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: 1^st Feb 2017 to 30^th Dec 2017. Material and Methods: All the patients age ranges from 18years to 45years, patient having isolated mandibular angle fracture either gender was included in the study Patients were divided into two groups by lottery method in group A (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 as 54.3% 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 1^st postoperative week infection was found only in one cases of group B, while no any cases were found with pain in group. Conclusion: The results of this study concluded that both techniques are the reliable and showed good outcome particularly as; infection rate was significantly decreased in intra oral approach as compare to trans-buccal approach.