Mandibular Angle Fractures - 20/11/21

Doi : 10.1016/j.fsc.2021.08.009

Gaelen Stanford-Moore, MD ^a, Andrew H. Murr, MD ^a,^b,^⁎
^a Department of Otolaryngology–Head and Neck Surgery, University of California, San Francisco, School of Medicine, 2233 Post Street, 3rd Floor, San Francisco, CA 94115, USA
^b Zuckerberg San Francisco General Hospital, San Francisco, CA, USA

^∗Corresponding author. Department of Otolaryngology–Head and Neck Surgery, University of California, San Francisco, School of Medicine, 2233 Post Street, 3rd Floor, San Francisco, CA 94115.Department of Otolaryngology–Head and Neck SurgeryUniversity of California, San Francisco, School of Medicine2233 Post Street3rd FloorSan FranciscoCA94115

Résumé

Angle fractures are the most common among the mandibular fractures. History and physical examination are crucial in guiding time course and specifics of management. Computed tomography (CT) has become the gold standard for diagnosis of mandible fractures, offering advantages for both surgical planning and assessing dental involvement. Currently the use of a single monocortical plate with the Champy technique for osteosynthesis is used preferentially for noncomminuted fractures of the mandibular angle. Other load-sharing options for plating include strut plates, malleable plates, and geometric or 3D plates. Load-bearing options remain viable for comminuted fractures or other complex circumstances.

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Keywords : Angle fracture, Mandible fracture, Champy technique, Strut plate, Malleable plate, 3D plate, Load bearing, Load sharing