The outcome of Endoscopic Assisted versus Conventional transbuccal approach for Open Reduction and Internal Fixation of Mandibular angles Fractures using two miniplates osteosynthesis. Comparative study

Document Type : Original Article


Oral and Maxillofacial Surgery; Faculty of Dentistry; Minia University, Egypt


Purpose: the current study aimed to compare between the outcomes of using endoscopic assisted versus conventional for
trans-buccal open reduction and internal fixation (ORIF) of mandibular angle fracture using two miniplates osteosynthesis.
Methods: the current study included 12 unilateral mandibularangle fractures either isolated or accompanied with other
mandibularfractures. Those patients were randomly divided into two equal groupaccording to treatment technique into;(group < br />A) treated by transbuccal endoscopicaly assisted open reduction and internal fixation (EAORIF) or (Group B) treated by
transbuccal conventional open reduction and internal fixation (CORIF). patients were evaluated clinically and radiographically
pre- operative and post-operative at different consequences period in relation to pain, edema, facial nerve injury, malocclusion,
operation time and radio-density at the fracture lines from one week to six months postoperatively for some parameters.
Results: our results showed there were significant difference between the two groups regarding operation time &
post-surgical edema.
Conclusion: EAORIF show more time saver & rapid post-operative edema regression than those patients managed by