Browse > Article
http://dx.doi.org/10.14402/jkamprs.2013.35.1.051

A Comparative Study of Intermaxillary Fixation and Manual Reduction at Open Reduction and Internal Fixation of Mandibular Fractures  

Jin, Soo-Young (Department of Oral and Maxillofacial Surgery, School of Dentistry, Chosun University)
Kim, Su-Gwan (Department of Oral and Maxillofacial Surgery, School of Dentistry, Chosun University)
Oh, Ji-Su (Department of Oral and Maxillofacial Surgery, School of Dentistry, Chosun University)
Kim, Jeong-Sun (Department of Dental Hygiene, Gwangju Health University)
Jeong, Mi-Ae (Department of Dental Hygiene, Kangwon National University)
Publication Information
Maxillofacial Plastic and Reconstructive Surgery / v.35, no.1, 2013 , pp. 51-54 More about this Journal
Abstract
Purpose: The purpose of this study is to evaluate the difference between open reduction and internal fixation (ORIF) and intermaxillary fixation (IMF) of mandibular fractures. Methods: A total of one hundred twenty-seven patients who were treated for mandibular fractures at Chosun University Dental Hospital, from January 2008 to December 2010, and analyzed their prognoses based on the use of IMF at the time of fracture reduction. The patients were divided into two groups; the manual reduction group without IMF and IMF group. Results: After reduction of the mandibular fracture, good results were obtained with majority patients. Nonetheless, seven patients (13.0%) in manual reduction method without arch bars or IMF, developed complications after surgery. Three patients underwent IMF due to occlusal instability after surgery, while one patient underwent re-operation. Thus, a significant difference was not observed between the IMF and manual reduction groups. Conclusion: Manual reduction and IMF at mandibular simple fracture could produce good results. In case of mandibular simple fracture, it was recommended with only manual reduction without IMF or IMF during a short period.
Keywords
Complication; Fracture; Internal fixation; Mandible;
Citations & Related Records
연도 인용수 순위
  • Reference
1 Turvey TA. Midfacial fractures: a retrospective analysis of 593 cases. J Oral Surg 1977;35:887-91.
2 Ugboko VI, Oginni FO, Owotade FJ. An investigation into the relationship between mandibular third molars and angle fractures in Nigerians. Br J Oral Maxillofac Surg 2000;38:427-9.   DOI   ScienceOn
3 Michelet FX, Deymes J, Dessus B. Osteosynthesis with miniaturized screwed plates in maxillo-facial surgery. J Maxillofac Surg 1973;1:79-84.   DOI   ScienceOn
4 Champy M, Loddé JP, Schmitt R, Jaeger JH, Muster D. Mandibular osteosynthesis by miniature screwed plates via a buccal approach. J Maxillofac Surg 1978;6:14-21.   DOI   ScienceOn
5 Cawood JI. Small plate osteosynthesis of mandibular fractures. Br J Oral Maxillofac Surg 1985;23:77-91.   DOI   ScienceOn
6 Thor A, Andersson L. Interdental wiring in jaw fractures: effects on teeth and surrounding tissues after a one-year follow-up. Br J Oral Maxillofac Surg 2001;39:398-401.   DOI   ScienceOn
7 Gaujac C, Ceccheti MM, Yonezaki F, Garcia IR Jr, Peres MP. Comparative analysis of 2 techniques of double-gloving protection during arch bar placement for intermaxillary fixation. J Oral Maxillofac Surg 2007;65:1922-5.   DOI   ScienceOn
8 Williams JG, Cawood JI. Effect of intermaxillary fixation on pulmonary function. Int J Oral Maxillofac Surg 1990;19:76-8.   DOI   ScienceOn
9 Gordon KF, Reed JM, Anand VK. Results of intraoral cortical bone screw fixation technique for mandibular fractures. Otolaryngol Head Neck Surg 1995;113:248-52.   DOI   ScienceOn
10 Coletti DP, Salama A, Caccamese JF Jr. Application of intermaxillary fixation screws in maxillofacial trauma. J Oral Maxillofac Surg 2007;65:1746-50.   DOI   ScienceOn
11 Bell RB, Wilson DM. Is the use of arch bars or interdental wire fixation necessary for successful outcomes in the open reduction and internal fixation of mandibular angle fractures? J Oral Maxillofac Surg 2008;66:2116-22.   DOI   ScienceOn
12 Fordyce AM, Lalani Z, Songra AK, Hildreth AJ, Carton AT, Hawkesford JE. Intermaxillary fixation is not usually necessary to reduce mandibular fractures. Br J Oral Maxillofac Surg 1999;37:52-7.   DOI   ScienceOn
13 Dimitroulis G. Management of fractured mandibles without the use of intermaxillary wire fixation. J Oral Maxillofac Surg 2002;60:1435-8.   DOI   ScienceOn
14 Laurentjoye M, Majoufre-Lefebvre C, Caix P, Siberchicot F, Ricard AS. Treatment of mandibular fractures with Michelet technique: manual fracture reduction without arch bars. J Oral Maxillofac Surg 2009;67:2374-9.   DOI   ScienceOn