scholarly journals Comparison of Efficacy of Transalveolar Screws and Conventional Dental Wiring Using Erich Arch Bar for Maxillomandibular Fixation in Mandibular Fractures

2017 ◽  
Vol 17 (2) ◽  
pp. 211-217
Author(s):  
Yashmeet Kaur Sandhu ◽  
Sarfaraz Padda ◽  
Tejinder Kaur ◽  
Amit Dhawan ◽  
Sarika Kapila ◽  
...  
Keyword(s):  
Mandibular Fractures ◽  
Maxillomandibular Fixation ◽  
Arch Bar

scholarly journals Comparative Evaluation of the Embrasure Wire versus Arch Bar Maxillomandibular Fixation in the Management of Mandibular Fractures: Are Arch Bars Replaceable?

2018 ◽  
Vol 11 (2) ◽  
pp. 118-123
Author(s):  
Sanjay Rastogi ◽  
Tousif Ahmed ◽  
Kolli Giri ◽  
Ramakant Dandriyal ◽  
Indra B. Niranjana Prasad ◽  
...  
Keyword(s):  
Statistical Significance ◽  
Demographic Data ◽  
Study Data ◽  
Mandibular Fractures ◽  
Intermaxillary Fixation ◽  
Maxillomandibular Fixation ◽  
Arch Bar ◽  
Significant Difference ◽  
Group A ◽  
Group B

The aim of this prospective study was to appraise the role of embrasure wiring in the treatment of mandibular fractures over the arch bar as adjunctive techniques of maxillomandibular fixation (MMF). This study was conducted on 40 patients who were surgically treated for mandibular fractures with accessory use of MMF (embrasure: group A vs. arch bars: group B). All patients were evaluated for demographic data, etiology, and location of fracture. Characteristically, the complications, including wire injury, infection, and malocclusion, were recorded. The data were analyzed using Student's t-test and chi-square test as appropriate. Statistical significance was set at p < 0.05). In this study, data from 40 patients were included. In group A (embrasure wiring), time required for placement of MMF was significantly less than (7.85 ± 0.81 minutes) that in group B, and also there was less incidence of wire prick to the operator in group A than in group B ( p < 0.05). However, in terms of wire prick and malocclusion, no statistically significant difference was noted in groups A and B ( p > 0.05). Patient treated with embrasure wiring intermaxillary fixation had better outcomes especially in terms of time of placement and less incidence of wire prick injury when compared with arch bar.

Mandibular Osteosynthesis with Intraoral Miniplates and Cortical Bone Screws

1995 ◽  
Vol 74 (12) ◽  
pp. 814-820 ◽  
Author(s):  
Richard F. Busch
Keyword(s):  
Cortical Bone ◽  
Operating Time ◽  
Bone Screws ◽  
Mandibular Fractures ◽  
Anatomical Reduction ◽  
Maxillomandibular Fixation ◽  
Arch Bar ◽  
Intraoral Approach

Previously, this author and others described a technique of maxillomandibular fixation utilizing intraoral cortical bone screws and intermaxillary wires. This procedure has been very successful in achieving superior fixation of relatively undisplaced fractures in a fraction of the time previously required for arch bar application. A method was sought to extend the procedure to include displaced mandibular fractures as well. Miniplates have been utilized through the same intraoral approach to provide reduction of displaced fragments. Excellent fixation has been achieved with anatomical reduction while utilizing less than half the previous operating time. It appears that the majority of mandibular fractures can be treated with this combination of techniques.

scholarly journals MANDIBULAR FRACTURE MANAGEMENT;

2019 ◽  
Vol 26 (04) ◽  
Author(s):  
Manoj Kumar ◽  
Syed Fida Hussain Shah ◽  
Suneel Kumar Panjabi ◽  
Soonhan Abdullah ◽  
Salman Shams
Keyword(s):  
Operative Time ◽  
Mandibular Fracture ◽  
P Value ◽  
Mandibular Fractures ◽  
Maxillomandibular Fixation ◽  
Arch Bar ◽  
Case Series Study ◽  
Fracture Management ◽  
Maxillomandibular Fixation Screws ◽  
Screw Group

Objectives: To compare the efficacy of Maxillomandibular fixation screws versus Erich Arch bar in the management of mandibular fractures. Study Design: Comparative case series study. Setting: Department of Oral & Maxillofacial Surgery, Faculty of Dentistry, Liaquat University Hospital Hyderabad, Jamshoro. Period: 29/03/2016 to 28/09/2016. Methodology: Forty patients of either gender with age above 18 years with mandibular fracture requiring closed reduction were included. 20 patients of Groups A, treated with Maxillomandibular fixation screws and 20 patients of Group B treated with Erich Arch bar. Mean operative time was noted. All patients were followed up on every week up to four weeks. The statistical analysis via t-test was used and P-value <0.05 was categorized as significant. Results: In MMF screw group 13(65.0%) patients were male and 7(35.0%) patients were female whereas in Arch Bar group, 15(75.0%) were male and 5(25.0%) were female. Evidence of wire stick injury was found positive in 2(10.0%) and 4(20.0%) patients among MMF screw and Arch Bar groups respectively. In MMF screw group, mean operative time was 84.20±18.04 minutes whereas in Arch Bar groups it was 121.80±13.68 minutes. The mean operative time is significantly reduced in MMF screw group as compared to Arch Bar group with p value <0.01. Conclusion: We conclude that Maxillomandibular fixation with screws was more worthwhile mode as matched to the conservative Erich arch bars for managing the mandibular fractures.

Comparison of Erich arch bar versus embrasure wires for intraoperative intermaxillary fixation in mandibular fractures

2018 ◽  
Vol 22 (4) ◽  
pp. 419-428
Author(s):  
Ashish Shrikant Satpute ◽  
Syed Ahmed Mohiuddin ◽  
Amol Madhukar Doiphode ◽  
Sujay Sanjay Kulkarni ◽  
Ahtesham Ahmad Qureshi ◽  
...  
Keyword(s):  
Mandibular Fractures ◽  
Intermaxillary Fixation ◽  
Arch Bar

An Alternative to Arch-Bar Maxillomandibular Fixation

1997 ◽  
Vol 99 (6) ◽  
pp. 1758-1759 ◽  
Author(s):  
Vasiliki Karlis ◽  
Robert Glickman
Keyword(s):  
Maxillomandibular Fixation ◽  
Arch Bar

scholarly journals Training Non-Specialists for Craniomaxillofacial Trauma in a Warzone Setting

2020 ◽  
pp. 1-9
Author(s):  
Abdulhakim W Zaggut ◽  
Abdulhakim W Zaggut ◽  
Muhammad M Rahman ◽  
Ali Ghanem ◽  
Simon Myers ◽  
...  
Keyword(s):  
Surgical Techniques ◽  
Research Programme ◽  
Training Programme ◽  
Mandibular Fractures ◽  
Hierarchical Task Analysis ◽  
Assessment Scores ◽  
Arch Bar ◽  
Pin Fixation ◽  
Craniomaxillofacial Trauma ◽  
Dental Models

This study investigated a simulated craniomaxillofacial (CMF) trauma training programme for nonspecialist clinicians involved in warfare environments. Many clinicians lack CMF surgical training and the course was designed as a one-day research programme to establish if non-specialists could acquire CMF trauma skills adequate for a warzone. The course consisted of six simulation skills, of which four used sheep heads to teach craniotomy, epistaxis, canthotomy and cantholysis and external pin fixation for mandibular fracture fixation. In addition, two skills utilised plaster dental models designed to enable fixation of mandibular fractures with the Erich arch bar or dental eyelet wiring. This simulation-based programme taught trauma management without the expense of cadavers or risks to patients [1]. The trainees were scored for each of the six skills by hierarchical task analysis (HTA) designed by CMF specialists [2, 3]. The trainee assessment scores improved significantly in all skills post-training, regardless of their medical or surgical deficiencies demonstrating that non-specialists can learn important surgical techniques, valuable for war environments.

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