p-ISSN: 1306-696x | e-ISSN: 1307-7945
Cilt : 11 Sayı : 3 Yıl : 2024

Hızlı Arama




SCImago Journal & Country Rank
Turkish Journal of Trauma and Emergency Surgery Anterior mandibula kırıklarının onarımında vida-tel kombinasyon tekniği [Ulus Travma Acil Cerrahi Derg]
Ulus Travma Acil Cerrahi Derg. 2005; 11(3): 225-229

Anterior mandibula kırıklarının onarımında vida-tel kombinasyon tekniği

Mithat Akan1, Kaan Gideroğlu2, Tayfun Aköz1
1Dr. Lütfi Kırdar Kartal Training and Research Hospital, Clinics of Plastic and Reconstructive Surgery, İstanbul, Turkey
2Zonguldak Karaelmas University, Faculty of Medicine, Department of Plastic and Reconstructive Surgery, Zonguldak, Turkey


Screw-wire combination technique in the reconstruction of anterior mandible fractures

Mithat Akan1, Kaan Gideroğlu2, Tayfun Aköz1
1Dr. Lütfi Kırdar Kartal Training and Research Hospital, Clinics of Plastic and Reconstructive Surgery, İstanbul, Turkey
2Zonguldak Karaelmas University, Faculty of Medicine, Department of Plastic and Reconstructive Surgery, Zonguldak, Turkey

BACKGROUND: Fractures of the mandible are among frequently seen facial injuries and their reconstruction requires unique procedures. The purpose of this study is to demonstrate the efficacy of screw-wire combination osteosynthesis technique in the treatment of simple and displaced, symphisis and parasymphisis mandible fractures. METHODS: In our clinic 9 simple and displaced, symphysis and parasymphysis fractures of mandible were treated with screw-wire combination osteosynthesis technique. By intraoral approach 4 screws were applied to both sides of the fracture site 5 mm away from either side placed at superior (n = 2) and inferior (n = 2) localizations. Lower and upper wires were placed bicortically, and unicortically respectively . In order to surround them with wire, the screws were not fully tightened. After surrounding the screws, the wires were tightened in a manner that would properly face the fracture sites mutually. Intermaxillary fixation was applied for 7 to 10 days in all patients. RESULTS: During follow up period we did not encounter infection, malunion, nonunion, delayed union and patient discomfort necessitating extirpation of the materials fixed. CONCLUSION: We think that screw-wire combination technique is an easy and effective method with low cost and fast healing especially in reconstruction of anterior mandible fractures.


Mithat Akan, Kaan Gideroğlu, Tayfun Aköz. Screw-wire combination technique in the reconstruction of anterior mandible fractures. Ulus Travma Acil Cerrahi Derg. 2005; 11(3): 225-229
Makale Dili: Türkçe