Simplified Transoral Load-Bearing Osteosynthesis with Preformed Mandible Reconstruction Plates

Craniomaxillofacial Trauma and Reconstruction

Sebastian Schiel¹  Sven Otto¹  Florian A. Probst¹  Christoph Pautke¹  Carl-Peter Cornelius¹ 

[1] Department of Oral and Maxillofacial Surgery, Ludwig-Maximilians-University of Munich, Germany

关键词: mandibular fracture;    load-bearing osteosynthesis;    preformed reconstruction plate;    transoral approach;    facial nerve preservation;   

DOI  :  10.1055/s-0033-1343784

学科分类：口腔科学

来源: Thieme Medical Publishers, Inc.

【 摘 要 】

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.

【 授权许可】

Unknown