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Noncompression unicortical miniplate osteosynthesis of mandibular fractures
B W Davies1, J P Cederna, B Guyuron
1Department of Plastic Surgery, Akron General Hospital, OH.
Annals of Plastic Surgery
|May 1, 1992
Summary
Transoral noncompression unicortical miniplates offer a minimally invasive approach for treating mandibular fractures. This technique avoids intermaxillary fixation and external incisions, resulting in favorable outcomes and low complication rates.
Area of Science:
- Oral and Maxillofacial Surgery
- Trauma Surgery
- Orthognathic Surgery
Background:
- Mandibular fractures are common facial injuries requiring effective treatment.
- Traditional methods for mandibular fracture fixation can involve external incisions and intermaxillary fixation, potentially leading to complications.
Purpose of the Study:
- To evaluate the efficacy and safety of transoral noncompression unicortical miniplate fixation for displaced mandibular fractures.
- To assess outcomes regarding malocclusion, complications, and patient recovery.
Main Methods:
- A retrospective review of 42 consecutive patients with 64 displaced mandibular fractures (excluding subcondylar) treated with transoral unicortical miniplates.
- Application of titanium miniplates following Champy's principles: two plates for body/symphysis, one for angle fractures.
- Absence of postoperative intermaxillary fixation.
Main Results:
- Favorable comparison with alternative treatment modalities for mandibular fractures.
- No evidence of postoperative malocclusion observed in the study cohort.
- An overall complication rate of 3% was reported.
Conclusions:
- Transoral noncompression unicortical miniplate fixation is an effective treatment for mandibular fractures.
- The technique offers advantages including no external incisions, avoidance of intermaxillary fixation, and preservation of normal occlusion.
- This approach is recommended as a preferred treatment method for suitable mandibular fractures.