Maxillomandibular fixation with Otten mini-hooks

Koulocheris, P.; Sakkas, Nikolaos; Otten, Jörg-Elard

doi:10.1016/j.bjoms.2007.02.002

Cited by 9 publications

(4 citation statements)

References 2 publications

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“…This study, however, correlates with the findings of Ellis that did not observe a direct relationship between delayed treatment and higher postoperative complication rates (Koulocheris et al, 2007). Surgical access to the fracture also did not correlate with the presence of complications.…”

Section: Discussionsupporting

confidence: 83%

Clinical aspects of a 2.0-mm locking plate system for mandibular fracture surgery

Sauerbier

Kuenz

Hauptmann

et al. 2010

Journal of Cranio-Maxillofacial Surgery

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SUMMARY. Purpose: The use of a 2.0-mm locking plate system was evaluated in mandibular surgery. Patients and methods: 53 patients (42 male, 11 female) with a total of 56 mandibular fractures were treated with a 2.0-mm mini-locking-plate system and retrospectively examined. Gender, age, cause of fracture, surgical access, classification of fractures, osteosynthesis, postsurgical findings and complications were evaluated. Results: Assault in male patients (mean age 31) was the most common aetiological factor. Fractures in women (mean age 43 years) mostly occurred due to falls. Mandibular angle fractures were the most common and this anatomical site also presented the highest complication rate. Only 6% of patients had minor occlusal disturbance postoperatively, and minor complications (infections and dehiscence) occurred in 14% of patients in this study. Major complications only occurred in one patient included in the study (1.9%). Risk factors for the development of complications in this series were a history of alcohol or tobacco use, mandibular angle fractures, associated facial fractures, presurgical occlusal disturbance and concomitant dental infections. Surgical access to the fracture and the interval from injury to surgery was not associated with the development of complications. Conclusions: The use of a 2.0-mm locking plate system with its advantages of improved handling characteristics, increased stability, shorter surgical time and the preservation of bony perfusion is a viable alternative to conventional miniplates in the management of mandibular fractures. Ó 2010 European Association for Cranio-Maxillo-facial Surgery

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Section: Discussionsupporting

confidence: 83%

Clinical aspects of a 2.0-mm locking plate system for mandibular fracture surgery

Sauerbier

Kuenz

Hauptmann

et al. 2010

Journal of Cranio-Maxillofacial Surgery

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“…This observation is in agreement with many studies. [31][32][33] With respect to the operating time, there were significantly shorter operative times with lag screws and 3D mini-plates in comparison to the placement of 2 mini-plates and locking plates. The lag screws required the least operative time with a significant statistical difference (p-value = 0.0001).…”

Section: Data Presented As Numbers With Percentages In Parentheses(pmentioning

confidence: 99%

Management of anterior mandibular fractures using four fixation methods: A clinical comparative study

Mohamed

2018

Egyptian Dental Journal

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Purpose: To compare the surgical outcomes of three-dimensional (3D) mini-plates for fixation of anterior mandibular fractures (AMFs) and those of bone plates and lag screws. Materials and methods:Patients with AMFs, who met the inclusion criteria, were equally distributed into 4 groups. Those in Group I were treated with double 2.0 mm mini-plates, patients in Group II were treated with double lag screws, 2.3mm locking plates were used in group III, while in Group IV 2.0 mm 3D mini-plates were used. Prior to the surgical intervention, MMF was performed to verify the centric occlusion in all patients. After hardware fixation, the MMF was intraoperatively released, and the adequacy of fixation and occlusion was verified. The operation time and postoperative outcomes were also analyzed.Results: Sixty patients (41 males and 19 females) were included in this prospective study. There were no significant differences in demographic data. The clinical examination showed stable fixation with no mobility in all cases. None of the patients in the 3D mini-plates group showed clinical manifestations of infection or dehiscence. The incidence of malocclusion was the highest in the mini-plates group. There was no statistically significant difference among the groups in all parameters, except for infection and paresthesia. They were significantly greater in double miniplates and 2.3 mm locking plate groups respectively. Conclusion:The use of 3D mini-plates is a viable option for fixation of AMFs. It has advantages of both lag screws and bone plates. A 3D mini-plate provided sufficient inter-fragmentary stability with a relatively low rate of complications when compared with other conventional fixation techniques.

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“…The four most common areas are, in that order, the body, the symphysis/parasymphysis, the condyle, and the angle [4,7]. The therapy of a fracture of the mandible can be a conservative or an operative one, depending on factors such as the type of the fracture, the anatomic location, and the patient's dental status and age [8][9][10][11][12]. The goal of a surgical approach with osteosynthesis of the fracture is to obtain an exact repositioning of the fracture and the occlusion, as well as an early regaining of functionality [13].…”

Section: Introductionmentioning

confidence: 99%

Analyzing the Fitting of Novel Preformed Osteosynthesis Plates for the Reduction and Fixation of Mandibular Fractures

Fuessinger¹,

Gass²,

Woelm³

et al. 2021

JCM

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Purpose: The known preformed osteosynthesis plates for the midface are helpful tools for a precise and fast fixation of repositioned fractures. The purpose of the current study is to analyze the precision of newly developed prototypes of preformed osteosynthesis plates for the mandible. Methods: Four newly designed preformed osteosynthesis plates, generated by a statistical shape model based on 115 CT scans, were virtually analyzed. The used plates were designed for symphyseal, parasymphyseal, angle, and condyle fractures. Each type of plate has three different sizes. For analysis, the shortest distance between the plate and the bone surface was measured, and the sum of the plate-to-bone distances over the whole surface was calculated. Results: A distance between plate and bone of less than 1.5 mm was defined as sufficient fitting. The plate for symphyseal fractures showed good fitting in 90% of the cases for size M, and in 84% for size L. For parasymphyseal fractures, size S fits in 80%, size M in 68%, and size L in 65% of the cases. Angle fractures with their specific plate show good fitting for size S in 53%, size M in 60%, and size L in 47%. The preformed plate for the condyle part fits for size S in 75%, for size M in 85%, and for size L in 74% of the cases. Conclusion: The newly developed mandible plates show sufficient clinical fitting to ensure adequate fracture reduction and fixation.

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Maxillomandibular fixation with Otten mini-hooks

Cited by 9 publications

References 2 publications

Clinical aspects of a 2.0-mm locking plate system for mandibular fracture surgery

Clinical aspects of a 2.0-mm locking plate system for mandibular fracture surgery

Management of anterior mandibular fractures using four fixation methods: A clinical comparative study

Analyzing the Fitting of Novel Preformed Osteosynthesis Plates for the Reduction and Fixation of Mandibular Fractures

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