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Simple intermaxillary fixation for maxillomandibular osteosynthesis

K Onishi1, Y Maruyama

  • 1Department of Plastic and Reconstructive Surgery, Toho University Hospital, Japan.

The Journal of Craniofacial Surgery
|March 1, 1996
PubMed
Summary
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A novel technique using miniscrews and wires simplifies maxillomandibular osteosynthesis for fractures and osteotomies. This method provides effective intermaxillary fixation, achieving satisfactory outcomes in all treated patients.

Area of Science:

  • Oral and Maxillofacial Surgery
  • Orthognathic Surgery
  • Surgical Techniques

Background:

  • Maxillomandibular osteosynthesis requires stable fixation for successful outcomes.
  • Existing techniques may involve complex procedures or specialized equipment.
  • Achieving precise occlusion is crucial for functional and aesthetic results.

Purpose of the Study:

  • To present a simple and effective intermaxillary fixation technique for maxillomandibular osteosynthesis.
  • To evaluate the efficacy of this technique in treating maxillomandibular fractures and osteotomies.

Main Methods:

  • A straightforward technique utilizing miniscrews and surgical wires for intermaxillary fixation was developed.
  • The technique was applied to 13 patients undergoing maxillomandibular fracture repair or osteotomy.

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Main Results:

  • All 13 patients achieved sufficient intermaxillary fixation during surgery.
  • Satisfactory functional and aesthetic results were observed in all cases.
  • The technique proved simple, easy to use, and required no specialized instruments.

Conclusions:

  • The described miniscrew and wire technique offers a simple, reliable, and cost-effective method for intermaxillary fixation in maxillomandibular osteosynthesis.
  • This approach facilitates positive occlusion, serving as a valuable adjunct for rigid internal fixation in oral and maxillofacial surgery.