Title
Comparison between intraoral and transbuccal approaches for the treatment of mandibular angle fractures: An observational comparative study
Authors
K.N. Jyothi* & Deepti Simon
Affiliation
Department of Oral and Maxillofacial Surgery, Government Dental College, Alappuzha 688005, Kerala, India; *Corresponding author
K.N. Jyothi - E-mail: drjyothibalu999@gmail.com
Deepti Simon - E-mail: simondeepti@yahoo.co.in
Article Type
Research Article
Date
Received September 1,
2026; Revised September 30, 2026; Accepted September 30, 2026,
Published September 30, 2026
Abstract
Mandibular angle fractures are technically demanding because restricted access, unfavorable biomechanics and post-operative trismus can influence early recovery after fixation. Therefore, it is of interest to evaluate the short-term functional outcomes of intraoral and transbuccal approaches for open reduction and internal fixation of isolated unilateral displaced mandibular angle fractures. Forty-eight adults were allocated into intraoral (n=24) and transbuccal (n=24) groups and followed for 1, 3 and 6 weeks using maximum mouth opening, facial swelling, visual analogue pain score and early complication assessment. At 6 weeks, the transbuccal group showed significantly greater mouth opening (45.1 ± 4.0 mm vs 40.8 ± 4.4 mm; p=0.003) and lower residual swelling (102.4 ± 5.8 mm vs 106.2 ± 6.5 mm; p=0.038), with low complication rates in both groups. Thus, both approaches were effective, but the transbuccal approach provided better short-term functional recovery with lower swelling and earlier pain reduction.
Keywords
Mandibular angle fracture, intraoral approach, transbuccal approach, open reduction, internal fixation, mouth opening, facial swelling
Citation
Jyothi & Simon, Bioinformation 22(9): 5537-5541 (2026)
Edited by
Ashwini Dhopte
ISSN
0973-2063
Publisher
License
This is an Open Access article which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly credited. This is distributed under the terms of the Creative Commons Attribution License.
