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Related Experiment Videos

Migration of a maxillofacial fixation device

L N Williams1, L F Ascher

  • 1Department of Oral and Maxillofacial Surgery, Wilford Hall Medical Center, USA.

General Dentistry
|January 1, 1996
PubMed
Summary

A Kirschner wire used in genioplasty surgery migrated into the floor of the mouth. Smoothing the wire to the jawbone resolved the complication, leading to uneventful healing.

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Area of Science:

  • Oral and Maxillofacial Surgery
  • Surgical Complications

Background:

  • Orthognathic surgery, specifically genioplasty, utilizes Kirschner wires for bone fixation.
  • Complications such as hardware migration can occur, necessitating prompt management.

Observation:

  • A case of a Kirschner wire migrating from its intended position after genioplasty to the floor of the mouth is presented.
  • The migrating wire posed a potential risk to adjacent anatomical structures.

Findings:

  • Surgical intervention to remove the migrated Kirschner wire was initiated.
  • Smoothing the protruding portion of the wire flush to the lingual mandibular border was performed as an alternative to complete removal.
  • This conservative approach resulted in successful management of the complication.

Implications:

  • This case highlights a rare but significant complication of Kirschner wire use in orthognathic surgery.
  • It suggests that modifying the protruding wire may be a viable management strategy for intraoral migration.
  • Further vigilance in surgical technique and postoperative monitoring is warranted to prevent such occurrences.

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