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.

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.

Mandible Fractures

2021 ◽  
Author(s):  
John J. Chi ◽  
Emily Konkus
Keyword(s):  
Closed Reduction ◽  
Open Reduction ◽  
Penetrating Trauma ◽  
Mandibular Fracture ◽  
Facial Fractures ◽  
Surgical Interventions ◽  
Maxillomandibular Fixation ◽  
Mandible Fracture ◽  
Fracture Management ◽  
Mandible Fractures

Mandible fractures are often caused by blunt or penetrating trauma and are one of the most common facial fractures. It is critical to understand facial and mandibular anatomy to best evaluate, classify, and treat mandible fractures. The primary goal of treatment is to restore the jaw to the preinjury occlusion. This can be achieved through open reduction with internal fixation or closed reduction with maxillomandibular fixation (MMF) in conjunction with dietary changes and/or physiotherapy. The main risks and concerns in mandible fracture management are infection, malunion, airway compromise, pain, and temporomandibular joint (TMJ) dysfunction. This chapter will provide a brief overview of facial and mandibular anatomy as well as common treatment methods and surgical interventions.  This review contains 17 figures, 2 tables, and 43 references Key words: Mandibular fracture, maxillomandibular fixation, occlusion, malunion, closed reduction, open reduction, TMJ dysfunction

TO COMPARE THE EFFECTIVENESS OF INTERMAXILLARY FIXATION USING ERICH ARCH BAR AND SCREWS IN MANDIBULAR FRACTURES – A RANDOMIZED CLINICAL STUDY.

2021 ◽  
pp. 24-27
Author(s):  
Ayeshwarya Chaudhary ◽  
Aashish Deshmukh ◽  
Manasi Bavaskar ◽  
Mehul Bhoye ◽  
Rajwardhan Shinde
Keyword(s):  
Mandibular Fracture ◽  
Mandibular Fractures ◽  
Intermaxillary Fixation ◽  
Glove Perforation ◽  
Randomized Clinical Study ◽  
Arch Bar ◽  
Group A ◽  
The Mean ◽  
Group B ◽  
Mean Time

Purpose: Intermaxillary xation (IMF) is an essential principle in the management of mandibular fractures; but with the recent advent of open reduction and internal xation (ORIF), the use of IMF is almost limited to intraoperative procedure only. This study aims to investigate and compare the effectiveness of Erich arch bar & intermaxillary xation (IMF) screws for the management of mandibular fractures. Materials And Method: A randomized prospective study was conducted on 20 patients with mandibular fracture, who were randomly allotted to two groups. Group A patients received intermaxillary xation using Erich arch bar and group B patients received IMF screws. The parameters assessed were time taken for application and removal of appliance, stability of occlusion, glove perforation, and pre-and post-operative plaque accumulation. Results: The mean time for placement of the Erich arch bar was 43.10 minutes as compared to 18.60 minutes with intermaxillary xation screws. Better occlusal stability was shown with an arch bar over IMF screws, and was statistically signicant. More glove tears or penetrations occurred during application in group A than Group B (p<0.01). Also, The Plaque Index assessment on removal of appliance showed a statistically signicant difference between the two groups; higher in the arch bar group. Conclusion: This study indicates that with acceptable occlusal stability, IMF screws technique is an effective and favourable alternative to Erich arch bars for temporary intermaxillary xation in mandibular fractures.

Repair of Mandibular Fractures: Plating vs. Traditional Techniques

1992 ◽  
Vol 106 (3) ◽  
pp. 245-249 ◽  
Author(s):  
C. Elliott Morgan ◽  
Julius N. Hicks ◽  
Thomas L. Eby ◽  
Thomas E. Borton
Keyword(s):  
Head And Neck ◽  
Structure And Function ◽  
Mandibular Fracture ◽  
Mandibular Fractures ◽  
Rigid Fixation ◽  
Fracture Management ◽  
Fixation Techniques ◽  
And Function ◽  
Compression Plating ◽  
Indications For Use

The treatment of mandibular fractures is a challenge for the otorhinolaryngologist-head and neck surgeon. Recent technologic advances have resulted in the development of rigid fixation techniques that hold promise for the early and optimal restoration of mandibular structure and function. The purpose of this article is to review the dental and orthopedic principles used in our mandibular fracture management, describe compression plating methodology, and discuss optimal techniques for its use. Results using rigid fixation procedures were compared with those using a variety of more traditional techniques in a retrospective analysis of 57 cases. The advantages, limitations, and indications for use of plating technology are discussed, and prevention of complications is emphasized.

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 Conservative management of mandibular fracture with maxillomandibular fixation using orthodontic brackets and elastics: A case report

2020 ◽  
Vol 1 (1) ◽  
pp. 52-56
Author(s):  
Alina Rai ◽  
◽  
Mamta Dali ◽  
Sneha Shrestha ◽  
Pradeep Acharya ◽  
...  
Keyword(s):  
Case Report ◽  
Conservative Management ◽  
Bone Fractures ◽  
Hospital Setting ◽  
Mandibular Fracture ◽  
Orthodontic Brackets ◽  
Successful Outcome ◽  
Posterior Teeth ◽  
Maxillomandibular Fixation ◽  
Fracture Management

Mandibular fracture is the most common facial skeletal injury in pediatric population seen in hospital setting. Fracture management is complicated by the developing permanent tooth buds and continuous mandibular growth. However, healing capacity in children is faster. Hence, conservative management is most often the treatment of choice for bone fractures in children. This case report is about a 6-year-old female child who sustained mandibular fracture after a road traffic accident (RTA) which was conservatively managed with maxillomandibular fixation using brackets and elastics. Orthodontic brackets were placed on facial aspect of posterior teeth of both the arches and elastics were used for traction leading to immobilization and stabilization of fracture. Healing was uneventful with complete bony union as evident by three months follow up orthopantomogram. Maxillomandibular fixation using brackets and elastics is a simple and non-invasive closed fracture reduction technique giving excellent result. The present case report showed successful outcome of mandibular fracture management.

scholarly journals Comparison between Conventional 2.0 mm Miniplates versus 3-D Plates In Management of Mandibular Fractures

2020 ◽  
pp. 83-88
Author(s):  
Meena Kumari ◽  
Kashif Ali Channar ◽  
Suneel Kumar Punjabi ◽  
Mahwish Memon ◽  
Salman Shams ◽  
...  
Keyword(s):  
Operative Time ◽  
Mandibular Fracture ◽  
Mandibular Fractures ◽  
Chi Square ◽  
Chi Square Test ◽  
Group A ◽  
Group B

Objective: To compare the outcomes stability, malunion and intra operative time by using 2.0mm conventional miniplates and 3-D plates in management of the anterior mandibular fracture. Materials and Methods: Total 94 patients were included and equally divided in two groups. Fixation of fracture was done by 2.0mm conventional miniplates in Group-A and a single 3D plate in Group-B. Stability, healing and malunion were assessed on follow-up at 1st week, 6th week, and 12th week using Chi Square Test. Results: Stability was 91.5% in group-A and 93.6% in group-B. Clinically malunion was 12.8% at 1st week, 14.8% at 2nd week, 14.8% at 8th week in group-A while in group-B, malunion was 8.5% at 1st week, 2nd week and at 8th week. Radiographically, malunion was 12.8% at 1st week, 14.8% at 2nd week, 14.8% at 8th week in group-A while in group-B, malunion was 8.5% at 1stweek, 2nd week and at 8th week. Conclusion: The results of the study concluded that 3-D plating system has advantages over conventional 2 mm miniplates.

Mandibular Fractures Treated with Maxillomandibular Fixation Screws (MMFS Method)

2006 ◽  
Vol 17 (3) ◽  
pp. 544-549 ◽  
Author(s):  
Takashi Imazawa ◽  
Yuzo Komuro ◽  
Masahiro Inoue ◽  
Akira Yanai
Keyword(s):  
Mandibular Fractures ◽  
Maxillomandibular Fixation ◽  
Maxillomandibular Fixation Screws
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