Background: Mandibular angle fractures are one of the most common (25%) facial fractures. The frequent involvement of mandibular angle in facial fractures can be attributed to (1) Thinner cross-sectional area (2) Presence of third molar (3) Angle is subjected to muscle forces.

Aim: To carry out comparison between two surgical techniques in treatment of mandibular angle fractures using miniplates.

Methods: After getting a written informed consent, these patients were randomly divided in two groups of 30 subjects in each group. Two surgical treatment approaches were used and compared including ORIF with (i) intraoral approach and (ii) transbuccal lateral cortical fixation. The outcome of both surgical approaches were compared a follow up period of 1st week, one month and after three months of intervention. Other demographic and clinical parameters were noted and compared in both groups.

Results: considering the outcome of two surgical approaches in terms of rate of post-operative infection, 05 patients in group I and 02 patients in group II had suffered infection at the end of three months duration. Although transbuccal lateral approach apparently proved superior as compared to intraoral approach but the statistical correlation found to be insignificant.

Conclusion: In terms of statistical analysis, no technique is superior to other but descriptive statistics shows that transbuccal approach has few merits over ORIF with intraoral approach.

Keywords: External oblique ridge fixation, lateral cortical plate fixation, mandibular angle fracture, miniplates, ORIF