Novel standard operating protocol for open reduction and internal fixation of mandibular angle fracture via an intraoral approach.

Abstract

Intraoral reduction and fixation of mandibular angle fractures is a routine surgical procedure for oral and maxillofacial surgeons across the globe. Access is the surgeon's major challenge while treating the same via an intraoral approach. Conventional principles of fracture management comprise reduction, intermaxillary fixation, and bone fixation. Access for the fixation screws in the ramal segment with intermaxillary fixation in place has always posed a problem while operating intraorally. This may lead to misdirected loose fixation screws which may compromise the fixation. Excessive stretching of the cheek also leads to injury and increased postoperative swelling. Mild sequential modification is suggested in this standard operative protocol (SOP) to facilitate the treatment and reduce the operative time. We have developed and copyrighted an SOP for ORIF of mandibular angle fractures via an intraoral approach. This well-designed protocol can be used as a universal protocol. Utilization and practice of this SOP will help budding surgeons learn and master the operative skills for ORIF of angle fracture via an intraoral approach.