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KMID : 1033720150160020096
Archives of Craniofacial Surgery
2015 Volume.16 No. 2 p.96 ~ p.98
Use of a Y-Shaped Plate for Intermaxillary Fixation
Kim Tae-Hoon

Yang Il-Hyung
Minn Kyung-Won
Jin Ung-Sik
Abstract
Maxillomandibular fractures usually require intermaxillary fixation as a means to immobilize and stabilize the fracture and to re-establish proper occlusion. Arch bars or intermaxillary fixation screws cannot be used for edentulous patients or for patients who have poor dental health. Here, we present a case of repeated intermaxillary fixation failure in a patient weak alveolar rigidity secondary to multiple dental implants. Because single-point fixation screws were not strong enough to maintain proper occlusion, we have used Y-shaped plates to provide more rigid anchoring points for the intermaxillary wires. We suggest that this method should be considered for patients in whom conventional fixation methods are inappropriate or have failed.
KEYWORD
Mandible, Jaw fixation techniques, Titanium plate, Mandibular reconstruction
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