A simple method for bone positioning of mandibular segments

Infrazygomatico‐coronoid fixation in a segmental mandibular reconstruction with a free vascularized flap: A simple and correct repositioning method without interfering with reconstructive and microsurgical procedures

“…Various techniques have been reported for the fixation of the segmented mandible during reconstruction . Adaptation of the reconstruction plate to the preresected mandible is one of the most popular methods for fixation . This bridging plate technique uses the outer cortex of the mandible as a template.…”

“…In this method, the reconstruction plate can be pre‐bent according to the mirror‐image model of the unaffected side. However, the stereolithographic model is expensive in terms of cost and laboratory time, and it is not practical for use in routine operations . The external fixation technique has also been described as useful for temporary stabilization .…”

“…However, the stereolithographic model is expensive in terms of cost and laboratory time, and it is not practical for use in routine operations . The external fixation technique has also been described as useful for temporary stabilization . Various stabilizing materials for the attachment of an external frame, such as Kirschner wires, pins, and screws, have been reported.…”

“…In SSRO for mandibular deformities, the correct repositioning of the proximal segments is necessary to prevent postoperative temporomandibular joint dysfunction . A number of techniques for condylar repositioning have been proposed . The zygoma‐to‐mandible plating technique was first described by Luhr for use in bimaxillary orthognathic surgery and requires a special bone plate and splint.…”

“…Consideration must also be given to reproduce the optimal relationship between the condyle and the glenoid fossa and the correct occlusion. Many techniques for the fixation of mandibular segments have been reported . These techniques are useful but require considerable time, extensive skills, or specialized systems.…”