[Intermaxillary intraoperative fixation of mandibular fractures: arch bars or fixation screws?]
C Delbet-Dupas1, N Pham Dang, J-M Mondié
1Service de chirurgie maxillo-faciale et stomatologie, service de chirurgie plastique et reconstructrice de la face, CHU Estaing, 1, place Lucie-Aubrac, 63000 Clermont-Ferrand, France.
Introduction:
The gold standard management of mandibular fractures is open reduction and osteosynthesis associated with intermaxillary fixation. The use of intermaxillary fixation screws for 20 years has considerably reduced the number of intermaxillary fixation with arch bars. The aim of our review was to identify current indications and contraindications of each technique.
Intermaxillary Fixation Techniques:
We present a short history and compare the two techniques with recently published assets, drawbacks, and complications.
Discussion:
The indications of intermaxillary fixation screws are uni- or bifocal fractures without or with minimal displacement. Their use is contraindicated in any other type of fracture, which should still be treated with arch bar fixation.
