Utilization of Continuous Miniplates for Coronoid Process Stabilization and Condylar Positioning in Mandibular...

Mandibular resections are essential for managing a range of jaw pathologies. These surgeries often lead to significant tissue deficits, impacting patients' functionality and quality of life. Achieving pre-operative mandibular functionality while minimizing surgical complications remains a major challenge, further compounded by the psychological distress experienced by patients due to potential disfigurement and loss of function.

This surgical technique is designed to preserve the original condylar position of the mandible, thereby maintaining occlusion and aesthetic harmony postsurgery. The technique focuses on overcoming the challenges associated with three-dimensional control of mandibular segments post-resection, including segmental torquing, inter-segmental spacing, and condylar positioning.

The technique involves stabilizing the mandible in maximum intercuspation using intermaxillary fixation (IMF) or manual methods prior to resection. A miniplate is then affixed to the lateral aspect of the ramus or coronoid process and extended to the maxilla, ensuring mandibular stability throughout the procedure. This approach facilitates accurate resection and reconstruction, minimizing the risk of occlusal discrepancies and maintaining the temporomandibular joint (TMJ) relationship postoperatively.

The application of this technique resulted in maintenance of TMJ relationship as confirmed by follow-up CT scans.