Maxillomandibular fixation using intraoral cortical bone screws and specially designed metal hooks (Ottenhaken) in the conservative treatment of mandibular fractures

Journal of Oral and Maxillofacial Surgery : Official Journal of the American Association of Oral and Maxillofacial Surgeons
Paul W PoeschlEllen Poeschl

Abstract

The present work evaluated the success of maxillomandibular fixation (MMF) by intraoral cortical bone screws and specially designed metal hooks (Ottenhaken) in nondislocated or slightly dislocated mandibular fractures. A total of 44 patients who sustained various types of mandibular fractures were treated at the University Hospital for Craniomaxillofacial and Oral Surgery, Vienna Medical School by MMF with Ottenhaken only. The patients were evaluated by preoperative and postoperative radiography, and clinical testing was performed by thermal testing with a cold spray and by assessing the degree of tooth mobility adjacent to the inserted screws. To determine the success of the treatment, various parameters, including screw or hook fracture, screw loosening, local infection of the punctured mucosa, and iatrogenic tooth damage, were considered. The screws and hooks were successfully inserted and MMF was engaged with tight elastics in all cases. The most frequent complication was rupturing of the elastics, necessitating replacement. In 5 patients, local infection of the mucosa around the screw led to severe pain that was treated successfully with analgesics. The screws could be left in place in all 5 cases. Hook fracture and screw ...Continue Reading

References

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Citations

May 14, 2014·Journal of Maxillofacial and Oral Surgery·Zainab ChaudharySriram Krishnan
Dec 17, 2014·Journal of Oral and Maxillofacial Surgery : Official Journal of the American Association of Oral and Maxillofacial Surgeons·Kyle Tracy, Rajesh Gutta
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Aug 24, 2010·Journal of Oral and Maxillofacial Surgery : Official Journal of the American Association of Oral and Maxillofacial Surgeons·Panayiotis A Kyzas
Apr 22, 2015·Journal of Oral and Maxillofacial Surgery : Official Journal of the American Association of Oral and Maxillofacial Surgeons·Wei HeZili Li
Mar 20, 2016·International Journal of Oral and Maxillofacial Surgery·I B CamargoL L Cunningham
Jun 1, 2010·Craniomaxillofacial Trauma & Reconstruction·Carl-Peter Cornelius, Michael Ehrenfeld

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