Facial width problems associated with rigid fixation of mandibular fractures: Case reports

Clinical characteristics and treatment of superolateral dislocation of the mandibular condyle

“…Furthermore, the plates must be sufficiently long and need to be bent to maintain the mandibular arch. 21 In summary, although the present study involved a small number of patients, there is reason to believe that superolateral dislocation of the condyle assumes many forms. Therefore, the treatment of these dislocations depends on the presence of fractures, and the key points of treatment include reduction of the dislocated condyle, resolution of the condylar fracture and associated dislocated disc, and management of the other mandibular fractures.…”

“…19,20 Multiple mandibular fractures that are associated with symphyseal or paramedian fractures with bilateral condylar fractures are problematic because they create an increase in the bigonial mandibular dimension by altering inferior facial width. 21,22 From our experience, control of the bigonial mandibular dimension is even more important in patients who have suffered bilateral condylar dislocation when the associated symphyseal fracture is reduced and fixed. For these cases, we suggest that the condylar dislocation be treated first, followed by condylar fractures, and finally the other associated mandibular fractures.…”

“Tension Band Wiring” A Simplified Approach for Fracture Reduction and Intermittent Stabilization

“…The overall outcome of open reduction and rigid fixation depends on perfect reduction of displaced fracture segments [5] as after rigid fixation, stiffness of plates prevent bone moulding due to muscle action during function.…”

Lag Screw in Mandibular Plate Technique for Sagittal Splitting Mandibular Fractures

“…Mobility leads to bone resorption and fibrous tissue ingrowth [1,2]. With multiple fractures, the mandible has a tendency to flare outward, which if not corrected and firmly stabilized, results in facial widening and significant malocclusion [3]. Mandibular fractures either combined or single, body or para-symphyseal with sagittal splitting between two cortices, represents a challenge in their reduction and fixation with acceptable bone alignment.…”