Wiring Technique In Mandibular Fracture

Modern techniques allow a skilled surgeon to stabilize mandibular fractures by using non visible thin plates in place of wiring.

Wiring technique in mandibular fracture. The authors have used this wiring technique in condylar and non displaced dentate mandibular fractures as a mean of immobilisation. Today jaws may also be wired for weight loss purposes to prevent the ingestion of solid food. Mandibular fractures occur most commonly among males in their 30s. In 1869 the thomas principle introduced an intraoral approach to mandibular open reduction followed by transosseous wire osteosynthesis using coil like silver wire which could be tightened periodically to achieve bony union.

Loretta 2005 reported that wiring is indicated in simple mandible fractures and jaw function is preserved during the healing process. It may result in a decreased ability to fully open the mouth. 0 6 or 0 8mm wire is inserted through predrilled holes in the oral border of maxilla mandible and is tightened just enough for the cat dog to open the mouth a few millimeters. In this study the feasibility of the risdon approach for condylar neck and subcondylar fractures of the mandible is demonstrated.

Often the teeth will not feel properly aligned or there may be bleeding of the gums. Indications for closed reduction non displaced and favourable fractures grossly communited fractures edentulous atrophic mandible fractures in children condylar fractures 2. A review of patients with mandibular condylar neck and subcondylar fractures was performed from march 2008 to june 2012. The new wiring technique has all the above mentioned features.

Many novel approaches to mandibular condyle fracture have been reported but there is a relative lack of reports on the risdon approach. Mandibular fracture also known as fracture of the jaw is a break through the mandibular bone in about 60 of cases the break occurs in two places. However for obtaining good results proper case selection is of paramount importance. 12 modifications of transosseous wiring techniques would be frequently utilized in the primary management of mandibular trauma until the 1960s despite criticism that.

The holes are usually drilled between the premolar and molar tooth roots. By john lewis vmd favd dipl. Originally it was used as the mandibular equivalent of a cast to fix the jaw in place while a fracture healed. Wiring techniques in maxillofacial surgery 1.

Last month we discussed iatrogenic mandibular fractures of the rostral mandible specifically the iatrogenic parasymphyseal fracture. Originally published in the april 2015 issue of veterinary practice news. 2009 used interfragmentary wire surgical technique to repair a caudal mandibular fracture in fifteen week old labrador retriever dog. Jaw wiring is a medical procedure to keep the jaw closed for a period of time.

Interarcuate wiring valid alternative to primary fracture repair especially in multifragmentary fractures.