Atraumatic placement of circummandibular wires: a technical note.

Fractures of the mandible are relatively uncommon in children as compared to that of adults. When they occur, the problems associated with their management are complicated due to the presence of the tooth bud and potential growth disturbance. Various management protocols are discussed in the literature. Most authors agree that the ideal method is to use an acrylic splint because it is easy to place and reduces the risk to jaw growth. These splints are secured to the reduced jaw by circummandibular wiring, which is a relatively simple technique. The authors describe their experience with a new atraumatic technique for the placement of circummandibular wires using a 16 gauge intravenous cannula stillete. Copyright 2009 International Association of Oral and Maxillofacial Surgeons. Published by Elsevier Ltd. All rights reserved.