Supplemental maxillomandibular fixation with miniplate osteosynthesis-required or not?
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.
Kumar
Ish
I
Department of Oral and Maxillofacial Surgery, Government Dental College, University of Health Sciences, Rohtak, Haryana, India. ishpahwa@yahoo.com
Singh
Virendra
V
Bhagol
Amrish
A
Goel
Mahesh
M
Gandhi
Shikha
S
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
D014025:Titanium
J Oral Maxillofac Surg. 1982 Jan;40(1):3-8
6174716
Injury. 1970 Jul;2(1):40-7
5522065
J Oral Maxillofac Surg. 2005 Dec;63(12):1737-41
16297694
Rev Stomatol Chir Maxillofac. 1976 Dec;77(8):971-6
1071237
Reconstr Surg Traumatol. 1972;13:124-40
5070993
Laryngoscope. 1984 Dec;94(12 Pt 1):1560-7
6503575
J Oral Maxillofac Surg. 2002 Jun;60(6):642-5; discussion 645-6
12022099
J Oral Maxillofac Surg. 2002 Feb;60(2):167-70
11815915
Ann Plast Surg. 1988 May;20(5):409-13
3377417
Otolaryngol Head Neck Surg. 1995 Feb;112(2):215-20
7838541
J Oral Maxillofac Surg. 1992 Jun;50(6):555-60; discussion 560-1
1593314
J Oral Maxillofac Surg. 2009 May;67(5):973-85
19375006