AbstracIntroduction: Mandibular fractures represents approximately two-thirds of all the maxillofacial fractures (nearly 70%) out of which Majority part constitutes fractures of mandibular angle. Aims and Objectives: To Study Complications and Outcome of Transoral approach for mandibular angle fractures. Methodology: This was a Cross-sectional study carried out at the tertiary Care Hospital during the one-year period from January 2014 to January 2015 in all the Patients admitted to Various Hospitals for Maxillofacial trauma and injuries. Those patients who are having mandibular fractures were included into the study. Total 104 patients with mandibular angle fractures were included into the study. Result: The majority of the patients were form the age groups (in Yrs.) of 45-55 i.e. 25 (24.03%) followed by >65 were 23 (22.11%); 55-65 were 21(20.19%); 35-45 were 14(13.46%);25-35 were 13(12.50%); 15-25 were 8(7.69%). The majority of the patients were Male- 83(79.80%) followed by Female- 21 (20.19%).In classification the 70.34% fractures were Simple and 29.66% were Complex fractures. Out of the total 104 Favourable fractures were 72.11% and Unfavourable fractures were 27.89%.The most common complications observed were Infection i.e. 10(9.61%) followed by Loss of teeth – 4(3.84%), Malocclusion- 3(2.88%); IAN Paresthesia -3(2.88%); Non-union of Fracture and Reoperation with IMF -2(1.92%).In outcome Satisfactory bony union occurred in 91.83 % cases. Conclusion: In our study commonest complication observed was operation site infection followed by Malocclusion, Inferior Alveolar Nerve Paresthesia and Loss of teeth. In outcome Satisfactory bony union occurred in 91.83 % cases.

Key Words: Fracture of mandibular angle, Transoral approach for mandibular angle fractures, IMF (Inter Maxillary Fixation) ORIF (Open Reduction and Internal Fixation), IAN (Inferior Alveolar Nerve) Paresthesia.