title: Supplemental maxillomandibular fixation with miniplate osteosynthesis-required or not?
abstract: OBJECTIVE
  To compare outcomes of open reduction and internal fixation of mandible fractures followed by either immediate mobilization or 5 days of maxillomandibular fixation.
  
  
  METHODS
  We analyzed our use of supplemental maxillomandibular fixation with miniplate osteosynthesis during a 2.5-year period in 118 patients with 180 mandible fractures. A retrospective, matched pairing of identical fractures fixated with identical plating schemes was carried out. Thirty-five pairs of patients undergoing monocortical plating were identified. Patients in group 1 were treated with supplemental maxillomandibular fixation after surgery, whereas patients in group 2 (immediate release group) were treated without postoperative maxillomandibular fixation.
  
  
  RESULTS
  The total rate of complications was 17% with supplemental maxillomandibular fixation and 14% without supplemental maxillomandibular fixation (p > 0.05). No statistically significant outcome advantage could be attributed to the use of maxillomandibular fixation.
  
  
  CONCLUSIONS
  The current retrospective study shows no significant differences in treating isolated mandible fractures with open reduction and internal fixation and immediate release versus open reduction and internal fixation with 5-7 days of MMF.
authors.affiliation: Department of Oral and Maxillofacial Surgery, Government Dental College, University of Health Sciences, Rohtak, Haryana, India. ishpahwa@yahoo.com
authors.forename: Ish
authors.initials: I
authors.lastname: Kumar
authors.forename: Virendra
authors.initials: V
authors.lastname: Singh
authors.forename: Amrish
authors.initials: A
authors.lastname: Bhagol
authors.forename: Mahesh
authors.initials: M
authors.lastname: Goel
authors.forename: Shikha
authors.initials: S
authors.lastname: Gandhi
mesh_terms: D000328:Adult; D001860:Bone Plates; D005260:Female; D005593:Fracture Fixation, Internal / Q000379:methods*; D006801:Humans; D019248:Jaw Fixation Techniques; D008297:Male; D008337:Mandibular Fractures / Q000601:surgery*; D016555:Matched-Pair Analysis; D011182:Postoperative Care / Q000379:methods; D011183:Postoperative Complications / Q000209:etiology; D012189:Retrospective Studies; D014025:Titanium
chemical_list: D014025:Titanium
references.citation: J Oral Maxillofac Surg. 1982 Jan;40(1):3-8
references.pmid: 6174716
references.citation: Injury. 1970 Jul;2(1):40-7
references.pmid: 5522065
references.citation: J Oral Maxillofac Surg. 2005 Dec;63(12):1737-41
references.pmid: 16297694
references.citation: Rev Stomatol Chir Maxillofac. 1976 Dec;77(8):971-6
references.pmid: 1071237
references.citation: Reconstr Surg Traumatol. 1972;13:124-40
references.pmid: 5070993
references.citation: Laryngoscope. 1984 Dec;94(12 Pt 1):1560-7
references.pmid: 6503575
references.citation: J Oral Maxillofac Surg. 2002 Jun;60(6):642-5; discussion 645-6
references.pmid: 12022099
references.citation: J Oral Maxillofac Surg. 2002 Feb;60(2):167-70
references.pmid: 11815915
references.citation: Ann Plast Surg. 1988 May;20(5):409-13
references.pmid: 3377417
references.citation: Otolaryngol Head Neck Surg. 1995 Feb;112(2):215-20
references.pmid: 7838541
references.citation: J Oral Maxillofac Surg. 1992 Jun;50(6):555-60; discussion 560-1
references.pmid: 1593314
references.citation: J Oral Maxillofac Surg. 2009 May;67(5):973-85
references.pmid: 19375006