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Seemann, R; Schicho, K; Wutzl, A; Koinig, G; Poeschl, WP; Krennmair, G; Ewers, R; Klug, C.
Complication rates in the operative treatment of mandibular angle fractures: a 10-year retrospective.
J Oral Maxillofac Surg. 2010; 68(3): 647-650. Doi: 10.1016/j.joms.2009.07.109
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Schicho Kurt
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Abstract:
Large-scale studies assessing complication rates and correlation of complications are still missing considering different fracture locations in the mandible. In the present retrospective study, complication rates of mandibular angle fractures treated by open reduction were assessed. Three hundred twenty-two patients (259 men, 63 women) with 335 surgically treated mandibular angle fractures were included in this study. Fractures were caused by fights (46.6%), falls (19.2%), traffic accidents (14.6%), sports (11.9%), wisdom tooth removal (7.3%), and 0.9% other causes. Successful treatment occurred in 93.69% of fractures with 1 open reduction and in 6.31% with 2 open reductions. Of surgically treated patients, 71.47% (238) were completely free of complications. A detailed complication correlation matrix is given in the text. Ninety-five fractures treated with 1 miniplate, 170 with 2 miniplates, and 70 with other osteosynthesis concepts were compared regarding osteosynthesis failure and pseudarthrosis. Similar osteosynthesis failure rates were shown for 1 miniplate and 2 miniplates. Copyright (c) 2010 American Association of Oral and Maxillofacial Surgeons. Published by Elsevier Inc. All rights reserved.
Find related publications in this database (using NLM MeSH Indexing)
Adult -
Bone Plates - adverse effects
Facial Nerve Injuries - etiology
Female -
Fracture Fixation, Internal - adverse effects
Fractures, Ununited - etiology
Humans -
Jaw Fixation Techniques - adverse effects Jaw Fixation Techniques - instrumentation
Male -
Mandibular Fractures - surgery
Middle Aged -
Pseudarthrosis - etiology
Retrospective Studies -
Surgical Wound Infection - etiology

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