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Simultaneous maxillary and mandibular orthognathic surgery stabilized by rigid internal fixation
1Department of Oral and Maxillofacial Surgery, Albert Einstein College of Medicine/Montefiore Medical Center, Bronx, NY 10467.
Oral Surgery, Oral Medicine, and Oral Pathology
|April 1, 1990
Summary
Rigid internal fixation enabled early jaw movement in 111 cases of simultaneous maxilla and mandible surgery. This technique facilitated prompt orthodontic therapy resumption, showing promising short-term outcomes for surgical stability.
Area of Science:
- Oral and Maxillofacial Surgery
- Orthodontics
- Biomaterials and Biomechanics
Background:
- Simultaneous surgical mobilization of the maxilla and mandible presents challenges in post-operative management.
- Early restoration of function is crucial for patient recovery and treatment efficiency.
Purpose of the Study:
- To evaluate the efficacy and outcomes of rigid internal fixation in simultaneous maxilla-mandible surgery.
- To assess the impact of rigid fixation on early patient mobilization and orthodontic treatment resumption.
Main Methods:
- A retrospective case series of 111 patients undergoing simultaneous maxilla-mandible surgery.
- Application of rigid internal fixation techniques for stabilizing the mobilized bone segments.
- Monitoring of early post-operative mobilization and initiation of orthodontic therapy.
Main Results:
- Successful application of rigid internal fixation in all 111 consecutive cases.
- Early mobilization of the mandible was consistently achieved.
- Facilitation of timely resumption of orthodontic therapy post-surgery.
Conclusions:
- Rigid internal fixation is a successful technique for simultaneous maxilla-mandible surgery.
- The technique allows for early mandibular mobilization and facilitates orthodontic treatment.
- Further investigation into the long-term stability of this fixation method is warranted.