Versatility of circummandibular wire as a tool for closed reduction of mandibular fractures

Mandibular fractures are really common incidents in maxillofacial trauma, the procedement made by surgeons can be either open or closed. Knowing that the reduction procedement is related to the displacement grade of fragments of the fracture. Some different protocols are discussed in the literature for closed reduction. More authors agree that the ideal method is to use and acrilical splint and 3 wires. The main objective is to evaluate the versatility of the circummandibular wire as a tool for closed reduction of mandibular fractures. And compare this technique with open reductions. We describe the management and the technique of the atraumatic placement of the wire. A total of 3 patients were evaluated and panoramic rx were taken to confirm diagnosis and to rule out any other fracture, intraoral examination revealed deranged occlusion with step deformity, they all sustained mandibular body fracture and underwent our technique. The treatment plan was to use an intraoral wire to reduce the gap, under local anesthesia an obwegeser needle was used to pass percutaneously the wire in ligual and vestibular sides. The wire is kept for 6 weeks and then another panoramic rx taken to confirm the results. After this period a better anatomical reduction is achieved than only using erich arch bars, especially in axial fractures.

Attention to any infection under the fixation period needs to be paid in closed reductions, and also it shows some advantages over open reduction such as avoiding the use and complications of general anesthesia, lower morbidity.

Conflict of interest: None declared.

Only gold members can continue reading. Log In or Register to continue

Feb 5, 2018 | Posted by in Oral and Maxillofacial Surgery | Comments Off on Versatility of circummandibular wire as a tool for closed reduction of mandibular fractures
Premium Wordpress Themes by UFO Themes