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JOURNAL TITLE: World Journal of Dentistry
Aim: To introduce the use of minimally invasive transbuccal approach in open reduction and internal fixation of linear vertical ramus fractures of the mandible and to discuss its various advantages, limitations and possible complications.
Materials and methods: Till date the use of transbuccal approach has been widely discussed in the management of mandibular angle fractures and mandibular osteotomy fixation. However, its application has not been mentioned in the management of more posterior mandibular fractures, such as mandibular ramus fractures. Various advantages of this approach have also been discussed with little mention of its limitations and involved complications.
Case report: Here, we discuss its use in the management of linear vertical ramus fractures by open reduction and internal fixation combined with the intraoral approach with a detailed description of the technique and 3 case reports where this technique was used. It involves the use of a combination of transbuccal and intraoral approach. Following reduction, fixation of linear vertical ramus fractures was done using trocar cannula for drilling and miniplate fixation transbuccally.
Results: In all the three cases adequate reduction and rigid fixation were achieved with this technique with reduced intraoperative time. All patients on follow-up reported with no complication and minimal scarring.
Conclusion: Use of transbuccal approach for rigid internal fixation of linear vertical ramus fractures is a minimally invasive, esthetic and a superior alternative to extraoral approach with a very low complication rate.
Clinical significance: Reduced operating time, Minimally invasive, superior esthetics, stable fixation, lower complication rates, easy to learn.
Keywords: Transbuccal approach, Trocar cannula, Vertical ramus fracture management.
How to cite this article: Kale TP, Motimath A, Korlepara Y, Kotrashetti SM. Transbuccal Approach for Management of Linear Ramus Fractures of Mandible: A Clinical Technique. World J Dent 2018;9(6):517-522.
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