Abstract • The maxillofacial surgeon uses a variety of techniques when treating mandibular fractures. The aim of treatment is to restore structure and function while minimizing morbidity. This requires adequate anatomic reduction and immobilization. The surgeon's choice of techniques should be safe, simple, economic, and effective. In this article, we discuss a previously described, yet little known, technique that fulfilled these criteria. The technique of augmented fixation of mandibular fractures using a threaded basal Kirschner wire was successfully used in seven patients. It offered the distinct advantage of rigid basal fixation that augmented interosseous and maxillomandibular fixation techniques. It was especially effective in stabilizing and promoting bone healing in unfavorable comminuted parasymphyseal fractures. Its ease and rapidity of application from readily available materials made it an effective alternate to elaborate techniques such as compression-plating systems. (Arch Otolaryngol Head Neck Surg 1989;115:699-704) References 1. Messer EJ, Hayes DE, Boyne PJ: Use of intraosseous metal appliances in fixation of mandibular fractures . J Oral Surg 1967;25:493-502. 2. Levine PA, Goode RL: Treatment of fractures of the edentulous mandible . Arch Otolaryngol Head Neck Surg 1982;108:167-173.Crossref 3. Kellman RM: Repair of mandibular fractures via compression plating and more traditional techniques: A comparison of results . Laryngoscope 1984;94:1560-1567.Crossref 4. Strelzow VV, Friedman WH: Dynamic compression plating in the treatment of mandibular fractures . Arch Otolaryngol Head Neck Surg 1982;108:583-586.Crossref 5. Seldin EB, Kelly JPW, Guralnick W: A technique of augmented fixation of mandibular fractures . J Oral Surg 1978;36:649-654. 6. Seldin EB, Kelly JP, Guralnick WC: Mandibular fracture fixation and reconstruction using the lower-border threaded rod: An 11-year follow-up study . J Oral Maxillofac Surg 1985; 43:115-121.Crossref 7. Brown JB, McDowell F: Internal wire fixation for fractures of the jaw: Preliminary report . Surg Gynecol Obstet 1942;74:227-230. 8. Thoma KH: Oral Surgery , ed 3. London, Henry Kimpton, 1958. 9. Brown LJ, Meerkotter VA: Immobilization of a fractured mandible by modified use of a Kirschner wire . J Dent Assoc S Afr 1965;20:304-307. 10. Shuker S: Immediate management of severe facial war injuries . J Maxillofac Surg 1983;11:30-36.Crossref 11. Shuker S: Interrami intraoral fixation of severely comminuted mandibular war injuries . J Maxillofac Surg 1985;13:282-286.Crossref 12. Gaisford JC, Hanna BC, Gutman D: Management of the mandibular fragments following resection . Plast Reconstr Surg 1968;28:192-206.Crossref 13. Masson JK: A variation of Kirschner wire prosthesis for reconstruction of mandible after partial mandibular resection for the intraoral malignancy . Plast Reconstr Surg 1965;35:457.Crossref 14. Lee KY, Lore JM, Curtis JP: Use of the Kirschner wire for mandibular reconstruction . Arch Otolaryngol Head Neck Surg 1988;114:68-72.Crossref
Archives of Otolaryngology - Head & Neck Surgery – American Medical Association
Published: Jun 1, 1989
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