Inter-rami intraoral fixation of severely comminuted mandibular war injuries

A new technique is presented for the reduction, stabilization and immobilization of an avulsed maxilla and severe comminuted body and symphysis injuries of the mandible sustained by Iraqi soldiers in combat. The technique consists of the use of intraoral inter-rami horseshoeshaped Kirschner wire as a scaffolding for multiple circumferential wires tied around bone fragments. The technique is simple, short, effective and allows function of the lower jaw.