Sage Journals: Discover world-class research

Abstract

ABSTRACT

OBJECTIVES: Bone-screw mandible fixation (BSMF) is evaluated as an alternative to intraoperative arch-bar maxillomandibular fixation before plating of mandibular fractures. BSMF is achieved by wire ligation of opposing bone-screws placed in the maxilla and mandible.

METHODS: A retrospective evaluation of 23 patients with 40 mandibular fractures who underwent man-dibular fracture repairs. BSMF was used instead of arch bars to ensure proper dental occlusion. All fractures were then plated, after which BSMF was removed before termination of anesthesia.

RESULTS: Normal occlusion was observed in 21 patients (91.3%), Class II malocclusion was noted in 1 patient (4.3%), and 1 patient was edentulous. No complications related to the use of BSMF were observed.

CONCLUSION: BSMF can serve as a viable alternative to arch-bar maxillomandibular fixation for obtaining temporary intraoperative occlusion. BSMF produces acceptable malocclusion rates and offers the advantages of decreased intraoperative time, lower risk for percutaneous and mucosal wire punctures, and ease of use.

Get full access to this article

View all access options for this article.

References

1. Busch

. Maxillomandibular fixation with intraoral cortical bone screws: a 2-year experience. Laryngoscope 1994; 104: 1048–50.

2. Busch

Prunes

. Intermaxillary fixation with intraoral cortical bone screws. Laryngoscope 1991; 101: 1336–8.

3. Davidson

Stabile

. Acquired immunodeficiency syndrome precautions in Otolaryngology–Head and neck surgery. Arch Otolaryngol Head Neck Surg 1991; 117: 1343–4.

4. Benninger

Gupta

Gilmore

. Intraoperative infectious disease exposure to otolaryngology operating room personnel. Laryngoscope 1991; 101: 1276–9.

5. Martinez-Gimeno

Acero-Sanz

Martin-Sastre

Navarro-Vila

. Maxillofacial trauma: influence of HIV infection. J Craniomaxillofac Surg 1992; 20: 297–302.

6. Gordon

Reed

Anand

. Results of intraoral cortical bone screw fixation technique for mandibular fractures. Otolaryngol Head Neck Surg 1995; 113: 248–52.

7. Karlis

Glickman

. An alternative to arch-bar maxillomandibular fixation. Plast Reconstr Surg 1997; 99: 1757–9.

8. Arthur

Berardo

. A simplified technique of maxillomandibular fixation. J Oral Maxillofac Surg 1989; 47: 1234.

9. Avery

CME

Johnson

. Surgical glove perforation and max-illofacial trauma: to plate or wire? Br J Oral Maxillofac Surg 1992;30: 31–5.

10.

10. Farmand

. Three dimensional plate fixation of fractures and osteotomies. Fac Plast Surg Clin N Am 1995; 3: 39–54.

11.

11. El-Degwi

Mathog

. Mandible fractures - medical and economic considerations. Otolaryngol Head Neck Surg 1993; 108: 213–9.

12.

12. Thaller

. Management of mandibular fractures. Arch Head Neck Surg 1994; 120: 44–8.

13.

13. Edwards

TJC

David

. A comparative study of miniplates used in the treatment of mandibular fractures. Plast Reconstr Surg 1996; 97: 1150–7.

Bone-screw mandible fixation: An intraoperative alternative to arch bars

Abstract

ABSTRACT

Get full access to this article

References