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

Area of Science:

• Oral and Maxillofacial Surgery
• Surgical Techniques
• Reconstructive Surgery

Background:

• Mandibular resections are critical for jaw pathologies but cause significant tissue deficits.
• These deficits impact patient function, quality of life, and can cause psychological distress.
• Restoring pre-operative function and minimizing complications are key surgical challenges.

Purpose of the Study:

• To present a surgical technique preserving the native condylar position of the mandible.
• To maintain post-surgical occlusion and aesthetic harmony.
• To address challenges in three-dimensional control of mandibular segments, including torquing, spacing, and condylar positioning.

Main Methods:

• Mandibular stabilization in maximum intercuspation using intermaxillary fixation (IMF) before resection.
• Affixing a miniplate from the ramus/coronoid process to the maxilla for intraoperative stability.
• Facilitating accurate resection and reconstruction to prevent occlusal discrepancies and maintain temporomandibular joint (TMJ) relationships.

Main Results:

• The described technique successfully maintained the TMJ relationship postoperatively.
• Follow-up CT scans confirmed the preservation of the TMJ relationship.

Conclusions:

• This technique offers a method to preserve condylar position during mandibular resection and reconstruction.
• It aids in maintaining occlusion and TMJ function, potentially improving patient outcomes.
• The approach facilitates stable reconstruction, minimizing surgical complications.