Mandibular angle fractures: a demographic review, with particular reference to post-operative complications

Abstract

Background: Mandibular angle fractures (MAF) have a recognized complexity of treatment and an increased risk of incurring complications.

Methods: This retrospective study included 45 consecutive patients who were diagnosed with an isolated MAF and no other facial fractures. The average age was 27.3 (SD = 7.7).

Results: A comparatively low rate of complications (11.1%) and a low rate of reoperation (1.8%) are reported, along with a significant role of smoking in complications (p = 0.022). A non-significant association was noted between complications, male gender and assault as an aetiological factor.

Conclusions: Review of the data from this study confirms that complication rates for patients attending the National Maxillofacial Unit are similar to or better than that of international studies. An overview of the aetiology of fracture complications is included.

Keywords: Angle fracture; Complications; Mandibular angle fracture; Mandibular fracture; ORIF; Oral and maxillofacial surgery; Return to theatre; Trauma surgery.