February 1991

Monocortical Miniplate Fixation of Mandibular Angle Fractures

Author Affiliations

From the Department of Otolaryngology, University of Minnesota Medical Center, Minneapolis (Drs Levy, Smith, and Marentette), and the Division of Otolaryngology—Head and Neck Surgery, Loma Linda (Calif) University Medical Center (Dr Odland).

Arch Otolaryngol Head Neck Surg. 1991;117(2):149-154. doi:10.1001/archotol.1991.01870140037002

• Noncompression monocortical miniplate fixation of mandibular fractures has become a reliable method of providing rigid fixation and eliminating the need for intermaxillary fixation. Recent studies, using a variety of internal fixation techniques, have described high complication rates at the mandibular angle. This article compares the use of one miniplate vs two miniplates in treatment of angle fractures. Since September 1985, 61 patients with 63 mandibular angle fractures have been treated with miniplates. Forty-four fractures were fixed with two miniplates. Six complications (3.1%) occurred, five of which were in the one-miniplate group. The complication rate in the double-miniplate group is the lowest reported of any plating technique. The use of two miniplates has proved to be an effective method of treating mandibular angle fractures.

(Arch Otolaryngol Head Neck Surg. 1991;117:149-154)