Management of mandibular fractures using biphasic pins and mandibular splints

Area of Science:

• Oral and Maxillofacial Surgery
• Trauma Management

Background:

• Mandibular fractures constitute a significant portion (20-39%) of all facial trauma.
• Effective management requires a diverse set of therapeutic tools for complex cases.

Observation:

• External fixation using Joe-Morrison Hall biphasic pins allows stabilization remote from infected fracture sites.
• Mandibular dental appliances (splints) prevent medial or lingual tip rotation and postoperative malocclusion.

Findings:

• Biphasic pin external fixation is advantageous for high-risk patients, including edentulous individuals and those with gunshot wound fractures.
• Dental splints are beneficial for edentulous patients, pediatric cases, and individuals with multiple facial traumas.

Implications:

• These techniques expand the armamentarium for managing complicated mandibular fractures.
• External fixation and dental splints offer tailored solutions for specific high-risk and complex patient populations.
• Improved management strategies can lead to better functional and aesthetic outcomes in facial trauma reconstruction.