Simplified transoral load-bearing osteosynthesis with preformed mandible reconstruction plates.
Transcutaneous submandibular approaches are the preferred technique for the application of load-bearing mandibular osteosynthesis plates. However, an extraoral approach is associated with several shortcomings, like the risk of harming the facial nerve and scarring. This technical note presents a specialized mandibular reconstruction plate (MatrixMANDIBLE Preformed Reconstruction Plate [Synthes Maxillofacial, Paoli, PA]), simplifying the transoral application by its design with a preformed curvature along the lateral surface of the mandible. The application of wide-spanning plates reaching from the posterior margin of the ramus even into the contralateral body region is facilitated. Transoral application of preformed mandibular reconstruction plates seems to be a promising option to bypass external incisions and to reduce operating room time.
Department of Oral and Maxillofacial Surgery, Ludwig-Maximilians-University of Munich, Germany.
Sebastian
S
Schiel
Department of Oral and Maxillofacial Surgery, Ludwig-Maximilians-University of Munich, Germany.
Sven
S
Otto
Department of Oral and Maxillofacial Surgery, Ludwig-Maximilians-University of Munich, Germany.
Christoph
C
Pautke
Department of Oral and Maxillofacial Surgery, Ludwig-Maximilians-University of Munich, Germany.
Carl-Peter
CP
Cornelius
Department of Oral and Maxillofacial Surgery, Ludwig-Maximilians-University of Munich, Germany.
Florian A
FA
Probst
facial nerve preservation; load-bearing osteosynthesis; mandibular fracture; preformed reconstruction plate; transoral approach