Reduction of (1) split maxilla (2) impacted maxilla

Hayton-Williams, D.S.

doi:10.1016/s0007-117x(63)80052-9

Cited by 4 publications

(2 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Oral hygiene was readily achieved by all patients because of the clearance above the locking plate beneath the mucoperiosteum. Pre-alignment of the palatal shelves with forceps was first reported in 1963, 29 as the author was recently informed by oral surgery colleagues. The Hayton-Williams forceps, however, features a screw-stop ( Fig.…”

Section: Resultsmentioning

confidence: 99%

The Search for the Ideal Fixation of Palatal Fractures: Innovative Experience with a Mini-Locking Plate

Pollock¹

2008

Cranial Maxillofac Trauma Reconstruction

View full text Add to dashboard Cite

Fractures of the palate have defied conventional management, such that malrotation and disinclination of the palatal shelves occur in a significant number of patients after repair. The fractured palatal shelves of eight patients were first prealigned. To do so, one or more 205-mm ratchet clamps and two intermaxillary fixation (IMF) posts were used. Rigid fixation was then achieved by applying a 2.0-mm mini-locking titanium plate (across the palatal vault) and by applying an adaptation miniplate across the fracture line as it exited the anterior surface of the maxilla. Screws were passed directly through the mucoperiosteum, to engage the palatal shelves and to lock the locking plate into position. Lacerations in the mucoperiosteum were neither used to aid fixation nor used as portals for dissection; incisions and mucoperiosteal flaps in the palatal vault were avoided. Adjuncts, such as intraoral splints, have not been used in cases to date, and early mobilization was allowed. Reconstitution of the craniomaxillofacial buttresses was added in patients with more extensive maxillary injury. The palatal appliance and screws remained rigidly in position in the roof of the mouth, much like an external fixator, until their removal 8 to 12 weeks after the repair. No patient suffered erosion of the mucoperiosteum or other major morbidity, other than a transient fistula of the soft palate. The palatoalveolar segments remained in proper realignment and inclination, and pretraumatic occlusal patterns and the width and depth of the lower face appear to have been restored with one exception. The latter suffered a subtle posterolateral open bite that was corrected orthodontically. Prealignment of fractured palatal shelves with one or more large ratchet clamps and two IMF posts provides several points of forced reduction of the palatal shelves, along the dental arch. In addition, stabilization with mini-locking plate(s) in the palatal vault and an adaptation plate across the fracture line, as it exits the maxilla, appear to have merit, based on this preliminary report (n ¼ 8). Outcomes seen on computed tomography and clinical examination during this 3-year experience have been favorable. KEYWORDS: Palatal fractures, fixation, mini-locking plate (s) Fractures that sagittally divide the palate and the maxillary alveoli are a notable challenge at surgery, largely because of splaying of the split palate, buccal version of the palatoalveolar segments, and instability of the lower third of the face. Soft tissue injury (most often of the upper lip) and dental trauma often herald the

show abstract

Section: Resultsmentioning

confidence: 99%

The Search for the Ideal Fixation of Palatal Fractures: Innovative Experience with a Mini-Locking Plate

Pollock¹

2008

Cranial Maxillofac Trauma Reconstruction

View full text Add to dashboard Cite

show abstract

“…It is advisable to use Rowe's maxillary disimpaction forceps for this purpose rather than Walsham's nasal forceps (Rowe & Killey 1968). Forceps designed to control the split maxilla are used additionally when required (Hayton-Williams 1963).…”

Section: Treatmentmentioning

confidence: 99%