Annals of Otolaryngology Head and Neck Surgery (ISSN 2835-7132) | Volume 4, Issue 5 | Case Report | Open Access DOI

Management of Mandibular Angle Fractures: Investigating Outcomes of Transbuccal vs Traditional Approaches

Ryan Puccia*

Tate Naylor MD1, Rachel Jones BS2, Abdulla Memon BS2, Jazzmyne Adams DrPH2, Ryan Puccia MD2*

1Henry Ford Health Department of Otolaryngology

2Department of Otolaryngology, Medical College of Wisconsin, Milwaukee, WI, USA

*Correspondence to: Ryan Puccia 

Fulltext PDF

Abstract

Mandibular angle fractures are of the most common facial fractures and present with a variety of complexities and management strategies. They also have one of the highest rates of complications given the watershed area of vascularity and differential forces on the mandible at this location. A retrospective analysis over ten years at a single institution was performed yielding 134 cases of mandibular angle fractures. These cases were evaluated for mechanism, complexity, concomitant injuries, approach, use of interdental fixation, and plating strategy. We found that the lowest rate of complications were seen with non-displaced fractures treated with maxillomandibular fixation and simple fractures treated with geometric plates. Higher rates of complications were seen with open approach, reconstruction plates, Champy plates, and gunshot induced fractures.

Keywords:

Facial trauma; Mandible trauma; Facial fracture; Fracture management

Citation:

Ryan Puccia. Management of Mandibular Angle Fractures: Investigating Outcomes of Transbuccal vs Traditional Approaches. Annal of Otol Head and Neck Surg. 2025;4(5):1-9.