Internal fixation of mandibular angle fractures using one miniplate in Greek children: a 5-year retrospective study

Abstract

Treatment modalities of mandibular angle fractures (MAFs) have been analyzed in several studies mainly referring to adult populations.

Aim: The aim of this study was to retrospectively present and discuss our experience and literature findings regarding the treatment of MAFs in children.

Patients and methods: Data were retrieved from the files of the Oral and Maxillofacial department, at the Children's Hospital ''P. & A. Kyriakou'' of Athens, during a 5 years period (2009-2013). Demographic features, treatment methods, outcome and follow-up of all patients with mandibular angle fractures were recorded.

Results: 6 boys, 5-14 years old (mean age 10 years), were included in the study. They were all treated intraorally with open reduction and fixation via one monocortical titanium plate osteosynthesis at the external oblique line of the mandible, followed by 1 week of intermaxillary fixation (IMF). Plates were removed 3-12 months post-operatively. Follow-up period ranged from 12 to 18 months (mean 14.7 months). All fractures healed uneventfully and the patients tolerated well both the operation and the post-operative period.

Conclusion: Osteosynthesis via intraoral approach combined with short duration IMF is adequate in treating MAFs in children.

Keywords: Children; Mandibular angle fractures; Osteosynthesis; Surgical treatment.