Maxillomandibular fixation miniplate, alternative management for condylar fractures in complete/partial edentulous mandible

Autor: Kazem Khiabani, Mohammad Hosein Amirzade-Iranaq
Jazyk: angličtina
Rok vydání: 2023
Předmět:
Zdroj: Oral and Maxillofacial Surgery Cases, Vol 9, Iss 2, Pp 100303- (2023)
Druh dokumentu: article
ISSN: 2214-5419
DOI: 10.1016/j.omsc.2023.100303
Popis: This study aimed to evaluate the feasibility, effectiveness, and reliability of using conventional miniplates to provide stable maxillomandibular fixation (MMF) for the management of condylar fracture(s) in complete/partial edentulous mandible. Eleven displaced condylar fractures (37.5% bilateral) in eight completely/partially edentulous adult males (mean age: 43.37) were immobilized with 2–3 conventional miniplates (across two jaws) and followed for three months. All cases showed stable mandibular immobilization during the MMF period. MMF-miniplates were removed after six weeks under local anesthesia. Satisfactory mouth opening was observed after MMF-miniplate removal. No cases of MMF-miniplate failure, significant postoperative complications, and emergency MMF-miniplate release were observed. Only one case showed local soft tissue inflammation at the MMF-miniplate entry site, which resolved after removal. In conclusion, MMF-miniplate is a feasible, effective, and reliable technique with satisfactory clinical outcomes. This technique can be easily and quickly used as an alternative treatment for open reduction of condylar fractures or as a temporary MMF in complete/partial edentulous mandible to reduce difficult, complex, and time-consuming perioperative procedures.
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