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Case Reports in Surgery
Volume 2017 (2017), Article ID 6149838, 4 pages
Case Report

Surgical Management of Unusual Biangular Mandibular Fractures

Division of Maxillofacial Surgery, Surgical Science Department, Città Della Salute e Della Scienza Hospital, University of Torino, Torino, Italy

Correspondence should be addressed to Stefan Cocis

Received 30 May 2016; Accepted 12 January 2017; Published 19 February 2017

Academic Editor: Giovanni Mariscalco

Copyright © 2017 Stefan Cocis et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Bilateral mandibular angle fractures, while representing a rarity among mandibular fractures, are a huge challenge of complex management for the maxillofacial surgeon. There are still many open questions regarding the ideal management of such fractures, including the following: the removal of the third molar in the fracture line, the best surgical approach, and the fixation methods. In this report the authors present the case of 40-year-old man presenting with a bilateral mandibular angle fracture referred to the Maxillofacial Surgery Department of Turin. Open reduction and internal fixation has been made for both sides. The left side third molar was removed and the internal fixation was achieved through internal fixation with one miniplate according to Champy’s technique and transbuccal access for a 4-hole miniplate at the inferior border of the mandible. Right side third molar was not removed and fixation was achieved through intraoral access and positioning of a 4-hole miniplate along the external ridge according to Champy. An optimal reduction was achieved and a correct occlusion has been restored.