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Mandibular Angle Fractures and Noncompression Plating Techniques
Arch Otolaryngol Head Neck Surg. 2005;131:166-168.
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Hypothesis: Noncompression plating techniques of internal fixation of mandibular angle fractures are effective and safe.
BACKGROUND
Fractures of the mandibular angle are a common occurrence in the emergency departments of any inner-city hospital. In the year 2002, more than 100 mandible fractures were repaired at San Francisco General Hospital, about one third of which involved the angle of the mandible. The angle of the mandible has some unique properties. Fractures in this area are less surgically accessible than parasymphyseal or body fractures via a transoral approach. The cross-section of the bone in this area is less than that in more anterior locations, creating less surface contact area to allow stabilization. In addition, fractures in the angle are often posterior to occluding molar teeth, and, therefore, slight differences in reduction can be tolerated with regard to dental occlusion. Nevertheless, the force generated by the muscles of mastication can reach 60 DN or . . . [Full Text of this Article]
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AUTHOR INFORMATION
Andrew H. Murr, MD
Author Affiliation: Department of Otolaryngology–Head and Neck Surgery, University of California San Francisco School of Medicine, and Department of Otolaryngology–Head and Neck Surgery, San Francisco General Hospital, San Francisco.
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