80 patients with 83 fractures of the mandibular angle were treated by lag screw fixation. The screws were placed through a transoral incision with transbuccal trochar instrumentation. No maxillomandibular fixation was used. Complications occurred in 12 fractures (14%), of which 5 (6%) required secondary surgical intervention. In all cases bony union was achieved 6 months postoperatively. Indications and advantages of the technique are discussed.
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