Symphyseal separation and fractures involving the incisive region

Traumatic Dentoalveolar and Maxillofacial Injuries in Cats

“…Symphyseal wiring with bilateral mandibular cerclage, or intermandibular stabilization with a resin/acrylic splint, are common approaches for these patients. 17,18 if the appropriate materials are available for non- invasive stabilization using a resin/acrylic, additional benefits to this technique include lack of a ventral skin incision required for mandibular cerclage wire placement, decreased risk of infection and lack of disruption of the fracture hematoma. A modified symphyseal separation repair technique has been proposed whereby mandibular cerclage wire is placed with wire twists distal and buccal to the canine tooth rather than being submerged under the ventral skin or exiting through a ventral skin incision.…”

Modified Labial Button Technique for Maintaining Occlusion After Caudal Mandibular Fracture/Temporomandibular Joint Luxation in the Cat

“…Upon reevaluation, 94% of the treated patients were free of discomfort, and 68% of the fractures and luxations showed radiographic healing. 5,7 Rocha et al found the ''labial locking with buttons'' method to be successful in achieving proper occlusion, with clinical healing occurring between 17 and 33 days. 6 Accordingly, in cases with minimally displaced subcondylar and pericondylar fractures without joint involvement, the labial button technique can provide sufficient stabilization for healing.…”

“…1,6,8 This technique can also be easily used in conjunction with other maxillomandibular repairs, such as cerclage wire fixation of mandibular symphyseal separation. 7 Postoperative management includes multimodal analgesia, nutritional support, and possibly antibiotic therapy in cases of open fractures and significant soft tissue trauma. Placement of an esophagostomy feeding tube is recommended to ensure proper nutrition during the immediate postoperative period.…”