1. Maxillomandibular fixation miniplate, alternative management for condylar fractures in complete/partial edentulous mandible
- Author
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Kazem Khiabani and Mohammad Hosein Amirzade-Iranaq
- Subjects
Edentulous mandible ,Mandibular fracture ,Mandibular condylar fracture ,Closed fracture treatment ,Maxillomandibular fixation ,Intermaxillary fixation ,Surgery ,RD1-811 - Abstract
This study aimed to evaluate the feasibility, effectiveness, and reliability of using conventional miniplates to provide stable maxillomandibular fixation (MMF) for the management of condylar fracture(s) in complete/partial edentulous mandible. Eleven displaced condylar fractures (37.5% bilateral) in eight completely/partially edentulous adult males (mean age: 43.37) were immobilized with 2โ3 conventional miniplates (across two jaws) and followed for three months. All cases showed stable mandibular immobilization during the MMF period. MMF-miniplates were removed after six weeks under local anesthesia. Satisfactory mouth opening was observed after MMF-miniplate removal. No cases of MMF-miniplate failure, significant postoperative complications, and emergency MMF-miniplate release were observed. Only one case showed local soft tissue inflammation at the MMF-miniplate entry site, which resolved after removal. In conclusion, MMF-miniplate is a feasible, effective, and reliable technique with satisfactory clinical outcomes. This technique can be easily and quickly used as an alternative treatment for open reduction of condylar fractures or as a temporary MMF in complete/partial edentulous mandible to reduce difficult, complex, and time-consuming perioperative procedures.
- Published
- 2023
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