An audit of mandibular fractures treated by intermaxillary fixation using intraoral cortical bone screws

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.

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Intermaxillary fixation with intraoral cortical bone screws

The Laryngoscope ◽

10.1002/lary.5541011214 ◽

1991 ◽

Vol 101 (12) ◽

pp. 1336-1338 ◽

Cited By ~ 18

Author(s):

Richard F. Busch ◽

Fernando Prunes

Keyword(s):

Cortical Bone ◽

Bone Screws ◽

Intermaxillary Fixation

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Is There Enough Evidence to Regularly Apply Bone Screws for Intermaxillary Fixation in Mandibular Fractures?

Journal of Oral and Maxillofacial Surgery ◽

10.1016/j.joms.2015.03.072 ◽

2015 ◽

Vol 73 (10) ◽

pp. 1963-1969 ◽

Cited By ~ 14

Author(s):

Arjan Bins ◽

Marjolijn A.E. Oomens ◽

Paolo Boffano ◽

Tymour Forouzanfar

Keyword(s):

Bone Screws ◽

Mandibular Fractures ◽

Intermaxillary Fixation

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Results of Intraoral Cortical Bone Screw Fixation Technique for Mandibular Fractures

Otolaryngology ◽

10.1016/s0194-5998(95)70113-3 ◽

1995 ◽

Vol 113 (3) ◽

pp. 248-252 ◽

Cited By ~ 33

Author(s):

Kyle F. Gordon ◽

J. Mark Reed ◽

Vinod K. Anand

Keyword(s):

Cortical Bone ◽

Operative Time ◽

Screw Fixation ◽

Facial Trauma ◽

Mandibular Fractures ◽

Fixation Technique ◽

Intermaxillary Fixation ◽

Bone Screw ◽

Immunodeficiency Virus ◽

Trauma Surgeons

The intraoral cortical bone screw fixation technique carries many advantages over traditional methods of intermaxillary fixation. Simplicity of the technique, reduction of operative time, and reduction of risk of transmission of human immunodeficiency virus and hepatitis make this an important technique in the armamentarium of busy facial trauma surgeons. Since 1992, 45 mandibular fractures in 29 patients treated with the intraoral cortical bone screw technique for intermaxillary fixation were retrospectively analyzed. At our institution, this technique has become the workhorse method of repairing most mandiublar fractures and is associated with minimal complications.

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