Transoral 2.0-mm miniplate fixation of mandibular fractures plus 2 weeks' maxillomandibular fixation: a prospective study.

Abstract

PURPOSE:

We conducted a study to assess the efficacy of intraoral treatment of mandibular fractures using a 2.0-mm miniplate and 2 weeks of maxillomandibular fixation (MMF).

PATIENTS AND METHODS:

Forty-four mandible fractures in 31 patients with a mean of 15 days of MMF were included in this study. A 2.0-mm miniplate was adapted along Champy's lines of ideal osteosynthesis and secured with four 8.0-mm monocortical screws. All patients were followed for at least 8 weeks after surgery. The incidences of bone or soft tissue infections, wound dehiscence, nonunion, malunion, malocclusion, plate fractures, and iatrogenic neurosensory deficits were prospectively evaluated.

RESULTS:

Primary bone healing was achieved in 100% of cases. No soft or hard tissue infection, malocclusion, malunion, nonunion, dental injuries, plate fracture, or iatrogenic nerve injuries were observed. Two (4.52%) minor complications-intraoral wound dehiscences-were noted.

CONCLUSIONS:

The use of a single 2.0-mm miniplate adapted along Champy's line of ideal osteosynthesis and stabilized with 4 monocortical screws plus 2 weeks of MMF was a viable treatment modality for mandibular fractures.

• Authors: Reza Bolourian, Stewart Lazow, Julius Berger
• Journal: Journal of oral and maxillofacial surgery : official journal of the American Association of Oral and Maxillofacial Surgeons (J Oral Maxillofac Surg) Vol. 60 Issue 2 Pg. 167-70 (Feb 2002) ISSN: 0278-2391 [Print] United States
• PMID: 11815915 (Publication Type: Journal Article)
• Copyright: Copyright 2002 American Association of Oral and Maxillofacial Surgeons J Oral Maxillofac Surg 60:167-170, 2002

Topics

• Adolescent
• Adult
• Bone Plates
• Bone Screws
• Equipment Design
• Equipment Failure
• Female
• Follow-Up Studies
• Fracture Fixation, Internal (instrumentation)
• Fracture Healing
• Fractures, Malunited (etiology)
• Fractures, Ununited (etiology)
• Humans
• Iatrogenic Disease
• Jaw Fixation Techniques
• Male
• Malocclusion (etiology)
• Mandibular Fractures (surgery)
• Middle Aged
• Miniaturization
• Prospective Studies
• Sensation Disorders (etiology)
• Surgical Wound Dehiscence (etiology)
• Surgical Wound Infection (etiology)
• Tooth Injuries (etiology)
• Treatment Outcome