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Arch Craniofac Surg. 2015 Aug;16(2):96-98. doi: 10.7181/acfs.2015.16.2.96. Epub 2015 Aug 11.

Use of a Y-Shaped Plate for Intermaxillary Fixation.

Archives of craniofacial surgery

Tae Hoon Kim, Il Hyung Yang, Kyung Won Minn, Ung Sik Jin

Affiliations

  1. Department of Plastic and Reconstructive Surgery, Seoul National University College of Medicine, Seoul, Korea.
  2. Department of Orthodontics, Seoul National University Dental Hospital, Seoul, Korea.

PMID: 28913231 PMCID: PMC5556858 DOI: 10.7181/acfs.2015.16.2.96

Abstract

Maxillomandibular fractures usually require intermaxillary fixation as a means to immobilize and stabilize the fracture and to re-establish proper occlusion. Arch bars or intermaxillary fixation screws cannot be used for edentulous patients or for patients who have poor dental health. Here, we present a case of repeated intermaxillary fixation failure in a patient weak alveolar rigidity secondary to multiple dental implants. Because single-point fixation screws were not strong enough to maintain proper occlusion, we have used Y-shaped plates to provide more rigid anchoring points for the intermaxillary wires. We suggest that this method should be considered for patients in whom conventional fixation methods are inappropriate or have failed.

Keywords: Jaw fixation techniques; Mandible; Mandibular reconstruction; Titanium plate

Conflict of interest statement

No potential conflict of interest relevant to this article was reported.

References

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  2. Int J Oral Maxillofac Surg. 2013 Apr;42(4):481-2 - PubMed
  3. J Craniomaxillofac Surg. 1989 Jan;17(1):31-3 - PubMed

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