Mithat Akan1, Kaan Gideroğlu, Tayfun Aköz. 1. Dr. Lütfi Kirdar Kartal Training and Research Hospital, Clinics of Plastic and Reconstructive Surgery, Istanbul, Turkey. mithat@hotmail.com
Abstract
BACKGROUND: Fractures of the mandible are among frequently seen facial injuries and their reconstruction requires unique procedures. The purpose of this study is to demonstrate the efficacy of screw-wire combination osteosynthesis technique in the treatment of simple and displaced, symphisis and parasymphisis mandible fractures. METHODS: In our clinic 9 simple and displaced, symphysis and parasymphysis fractures of mandible were treated with screw-wire combination osteosynthesis technique. By intraoral approach 4 screws were applied to both sides of the fracture site 5 mm away from either side placed at superior (n = 2) and inferior (n = 2) localizations. Lower and upper wires were placed bicortically, and unicortically respectively . In order to surround them with wire, the screws were not fully tightened. After surrounding the screws, the wires were tightened in a manner that would properly face the fracture sites mutually. Intermaxillary fixation was applied for 7 to 10 days in all patients. RESULTS: During follow up period we did not encounter infection, malunion, nonunion, delayed union and patient discomfort necessitating extirpation of the materials fixed. CONCLUSION: We think that screw-wire combination technique is an easy and effective method with low cost and fast healing especially in reconstruction of anterior mandible fractures.
BACKGROUND:Fractures of the mandible are among frequently seen facial injuries and their reconstruction requires unique procedures. The purpose of this study is to demonstrate the efficacy of screw-wire combination osteosynthesis technique in the treatment of simple and displaced, symphisis and parasymphisis mandible fractures. METHODS: In our clinic 9 simple and displaced, symphysis and parasymphysis fractures of mandible were treated with screw-wire combination osteosynthesis technique. By intraoral approach 4 screws were applied to both sides of the fracture site 5 mm away from either side placed at superior (n = 2) and inferior (n = 2) localizations. Lower and upper wires were placed bicortically, and unicortically respectively . In order to surround them with wire, the screws were not fully tightened. After surrounding the screws, the wires were tightened in a manner that would properly face the fracture sites mutually. Intermaxillary fixation was applied for 7 to 10 days in all patients. RESULTS: During follow up period we did not encounter infection, malunion, nonunion, delayed union and patient discomfort necessitating extirpation of the materials fixed. CONCLUSION: We think that screw-wire combination technique is an easy and effective method with low cost and fast healing especially in reconstruction of anterior mandible fractures.