The "European Mandibular Angle" research project: the analysis of complications after unilateral angle fractures

Matteo Brucoli; Paolo Boffano; Andrea Pezzana; Arnaldo Benech; Pierre Corre; Helios Bertin; Petia Pechalova; Nikolai Pavlov; Petko Petrov; Tiia Tamme; Andrey Kopchak; Anna Romanova; Eugen Shuminsky; Emil Dediol; Marko Tarle; Vitomir S Konstantinovic; Drago Jelovac; K Hakki Karagozoglu; Tymour Forouzanfar

doi:10.1016/j.oooo.2019.02.027

The "European Mandibular Angle" research project: the analysis of complications after unilateral angle fractures

Oral Surg Oral Med Oral Pathol Oral Radiol. 2019 Jul;128(1):14-17. doi: 10.1016/j.oooo.2019.02.027. Epub 2019 Feb 28.

Authors

Matteo Brucoli¹, Paolo Boffano², Andrea Pezzana², Arnaldo Benech², Pierre Corre³, Helios Bertin³, Petia Pechalova⁴, Nikolai Pavlov⁵, Petko Petrov⁶, Tiia Tamme⁷, Andrey Kopchak⁸, Anna Romanova⁸, Eugen Shuminsky⁸, Emil Dediol⁹, Marko Tarle⁹, Vitomir S Konstantinovic¹⁰, Drago Jelovac¹⁰, K Hakki Karagozoglu¹¹, Tymour Forouzanfar¹¹

Affiliations

¹ Division of Maxillofacial Surgery at the University of Eastern Piedmont, Novara, Italy. Electronic address: mattbrucoli@gmail.com.
² Division of Maxillofacial Surgery at the University of Eastern Piedmont, Novara, Italy.
³ Service de Stomatologie et Chirurgie Maxillo-faciale at the Chu de Nantes, Nantes, France.
⁴ Department of Oral Surgery, Faculty of Dental Medicine, Medical University, Plovdiv, Bulgaria.
⁵ Private Practice of Oral Surgery, Plovdiv, Bulgaria.
⁶ Department of Maxillofacial Surgery, Faculty of Dental Medicine, Medical University, Plovdiv, Bulgaria.
⁷ Department of Maxillofacial Surgery, Stomatology Clinic, Tartu University, Tartu, Estonia.
⁸ Department for Oral and Maxillofacial Surgery at the Bogomolets National Medical University, Kiev, Ukraine.
⁹ Department of Maxillofacial Surgery at the University Hospital Dubrava, Zagreb, Croatia.
¹⁰ The Clinic of Maxillofacial Surgery of the School of Dentistry at the University of Belgrade, Belgrade, Serbia.
¹¹ Department of Oral and Maxillofacial Surgery/Pathology, VU University Medical Center and Academic Centre for Dentistry Amsterdam (ACTA), Amsterdam, The Netherlands.

PMID: 30981529
DOI: 10.1016/j.oooo.2019.02.027

Abstract

Objective: The aim of this study was to analyze the complications and outcomes of surgical treatment of angle fractures managed at departments of maxillofacial surgery in several European countries.

Study design: Patients hospitalized with unilateral isolated angle fractures between 2013 and 2017 were included. The following data were recorded: gender and age of patients, fracture etiology, presence of the third molar, maxillomandibular fixation, osteosynthesis technique, and complications.

Results: In total, 489 patients were included in the study. The Champy technique was found to be the most frequently chosen osteosynthesis technique. Sixty complications were observed, at a rate of 12.3%. Complications were associated with the absence of third molars (P < .05). Instead, the Champy technique was associated with fewer complications (P < .05), in comparison with the other adopted techniques.

Conclusions: The management of angle fractures still represents a challenging task with a significant complication rate. The Champy technique still seems to be a valid option for the treatment of such injuries.

MeSH terms

Bone Plates
Europe
Fracture Fixation, Internal
Humans
Jaw Fixation Techniques
Mandibular Fractures*
Molar, Third
Retrospective Studies