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KMID : 0360119950170020171
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Journal of the Korean Society of Maxillofacial Plastic Reconstructive Surgeons
1995 Volume.17 No. 2 p.171 ~ p.179
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Convervative treatment of bilateral condylar fracture by a smiplifed technique of maxillomandibular fixation
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Abstract
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The conservative treatment of the condylar fracture has been used for a long time because of its simplicity, good prognosis and less complication. Traditionally the conservative treatment has been carried out by maxillomandibular fixation using
arch bar
and wire. But a simplified technique of maxillomandibular fixation introduced here is a procedure that 4 bone screws are placed above the apecies of the maxillary and canines and then ipsilaterally placed maxillary and mandibular bone screws are
linked
by a loop of wire each other. This procedure has several advantages compared with the traditional maxillomandibular fixation method. 1) it provides simplicity for the operators. 2) it sustains maxillomandibular fixation more rigidly compared with
arch
bar technique. 3) it keeps stable maxillomandibular fixation in the region of the anterior teeth so that anterior open bite tendency can be remarkably minimized. 4) it does not injure the periodontal tissue because the teeth are not engaged and
causes
less discomfort to the patient. 5) it decreased the possibility of operator's AIDS infection through inadvertent skin puncture. 6) it is highly recommended for the patients whose teeth are available for maxillomandibular fixation.
The two male patients were diagnosed as bilateral condylar and symphyseal fracture of the mandible. They restored stable occlusion and functional mandibular movement only by a simplified technique of maxillomandibular fixation.
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