Abstract OPEN reduction of mandibular fractures is an acceptable procedure, and a variety of methods for obtaining stabilization are available. We prefer metallic implant (splint) fixation, when possible, and have found a Vitallium mesh implant to be more satisfactory than other materials presently available. The use of this material for fracture stabilization evolved from its use in the construction of mandibular prostheses by Hahn1 and their subsequent practical application by Hahn1 and Corgill.2 We present this as a new material for fixation of mandibular fractures. Material The metal we used is the Vitallium mesh which is commonly used in the construction of partial dentures. It may be obtained from dental laboratories, and several standard sizes are available. For fracture fixation, mesh size 100 is used. This is 0.75 mm thick, with strands 1 mm wide, and with spaces of 2×2 mm (Fig 1). Our source supplies the mesh References 1. Hahn, G.W.: Vitallium Mesh Mandibular Prosthesis , Prosth Dent 14:777-784 ( (July) -Aug) 1964.Crossref 2. Corgill, D.A.: A Vitallium Mesh Prosthesis for Reconstruction of the Mandible , read before the seventh Annual Meeting of the American Society for Head and Neck Surgery , New York, (June) 1965. 3. Dingman, R.O., and Natvig, P.: Surgery of Facial Fractures , Philadelphia: W. B. Saunders Co., pp 153-155. 4. Dingman, R.O., and Grabb, W.C.: Surgical Anatomy of the Mandibular Ramus of the Facial Nerve Based on the Dissection of 100 Facial Halves , Plast Reconstr Surg 29:266-272 ( (March) ) 1962.Crossref 5. Risdon, F.E.: Ankylosis of Temporomaxillary Joint , J Amer Dent Assoc 21:1933-1937 ( (Nov) ) 1934.
Archives of Otolaryngology – American Medical Association
Published: Oct 1, 1966
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