Management of Mandibular Fractures by An Inexpensive Compressive Reduction Technique

Authors

  • Wichit Boonyawatana Department of Surgery, Nakornpathom Hospital, Nakornpathom, Thailand

Abstract

               The author describes an inexpensive technique by simple rigid interosseous fixation for the management of mandibular fractures. This technique, to be referred as Nakornpathom technique, is cheap, easy, and needs no expensive plates and screws. It needs simpler and cheaper miniplate and steel wires to achieve rigid compression osteosynthesis. There were 127 mandibular fractures in 100 patients treated by this technique at the Nakornpathom Hospital between January 1997 and April 1999. All cases successfully healed, but with very few minor complications. The technique developed at Nakornpathom Hospital provides a reasonable alternative of internal rigid fixation for the management of mandibular fractures. It is suggested that the technique is appropriate to all developing countries especially during the situation of economic crisis.

References

1. Van Hemelen G, Mommaerts, MC, Beirne JC, Abeloos JV, De Clercq CA, Neyt LF. An intraoperative technical aids to miniplating of mandibular fracture by fracture segment apposition. Acta Chirugica Belgica 1997;97(3):123-6.

2. Zachariades N, Megitis M. An audit of mandibular fractures treated by intermaxillary fixation, interosseous wiring and compression plating. Br J Oral Maxillo Surg 1996; 34(4):293-7.

3. Luhr HG, Hausmann DF. Results of compression osteosynthesis with intraoral approach in 922 mandibular fractures. Fartschritte der Kiefer and Gesichts-Chirugie 1996; 41:77-80.

4. Reychler H. Current treatments of mandiblar fractures. Acta Chirugica Belgica 1991;91(4):203-10.

5. Manson PN. Facial injuries. In: Mc Carthy JG, Ed. Plast Surg 1990;930-979.

6. Valentino J, Levy FE, Marentette LJ. Intraoral monocortical miniplating of mandible fractures. Arch Otolaryngol Head Neck Surg 1994; 120(6):605-12.

7. Evans GR, Clark N, Manson PN, LeipZig LS. Role of mini an microplate fixation in fractures of the midface and mandible. Ann Plast Surg 1995;34(5):453-6.

8. Splessl B. New concepts in maxillofacial bone surgery. New York: Springer-Verlag,1976.

9. Calloway DM, Anton MA, Jacob JS. Changing concepts and controversies in the management of mandibular fractures. Clin Plast Surg 1992;19(1):56-69.

10. Champy M, Pape HD, Gerlach KL, Loddee JP. The Strasbourg miniplate osteosysnthesis. Oral Maxillo Trauma. 1986; 2:19-43.

11. lkemura K, Hidatia H, Etoh T, Kabato K. Osteosynthesis in facial bone fractures using miniplates. Oral Surg Oral Med Oral Pathol 1988; 46:10-14.

12. Sung DY, Yinn JH, Fung RH, Chen JS, Chang KC, Chiang Ss. Rigid fixation of mandibular fractures with titanium miniplates. Chin Med J 1988; 42.

13. Rix L, Stevenson ARL, Punnia-Moarthy A. An analysis of 80 cases of mandibular fractures treated with miniplate osteosynthesis. Int J Oral Maxillo Surg 1991;20:337-341.

14. Renton TF. Mandibular fracture osteosynthesis: A Comparison of three techniques. Br J Oral Maxillo Surg 1996:166-73.

15. Brown JS, Grew V, Taylor B, Millar BG. Intermaxillary fixation compared to miniplate osteosynthesis in the management of fractured mandible. Br J Oral Maxillfacial Surg 1991;29:308-11.

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Published

1999-09-30

How to Cite

1.
Boonyawatana W. Management of Mandibular Fractures by An Inexpensive Compressive Reduction Technique. Thai J Surg [Internet]. 1999 Sep. 30 [cited 2024 Nov. 23];20(3):97-102. Available from: https://he02.tci-thaijo.org/index.php/ThaiJSurg/article/view/247887

Issue

Vol. 20 No. 3 (1999): July - September

Section

Surgical Techniques

License

Articles must be contributed solely to The Thai Journal of Surgery and when published become the property of the Royal College of Surgeons of Thailand. The Royal College of Surgeons of Thailand reserves copyright on all published materials and such materials may not be reproduced in any form without the written permission.