10.1016j.bjoms.2005.04.016.pdf

British Journal of Oral and Maxillofacial Surgery 44 (2006) 166 Letter to the Editor ‘Double barrel’ 2.0 mm miniplates to fix fractures of the neck of the mandibular condyle The establishment of protocols for treatment reduces costs and allows studies between institutions to define the best pro- cedures to be adopted. As far as facial trauma is concerned, there are many systems of fixation with various kinds of plates and screws. However, access to some of these systems is lim- ited by the high cost of the materials used. Fig. 1. ‘Double barrelled’ with two superimposed low profile miniplates of the 2.0 mm system and bicortical fixation. Note the Erich arch bars used to realign the maxillary fracture. We report a simple technique for dealing with fractures of the mandibular condyle. When open reduction of fractures of the condylar neck is indicated, 1,2 we use two superimposed low profile miniplates of the 2.0 mm system and fix them bicortically (Fig. 1). We use maxillomandibular block- ing only during the operation, and we have encountered no displacement or fracture of the plates. We think that this technique increases the stability of the fixation at minimal cost. References 1. Zide MF, Kent JN. Indications for open reduction of mandibular condyle fractures. J Oral Maxillofac Surg 1983;41:89–98. 2. Brandt MT, Haug RH. Open versus closed reduction of adult mandibular condyle fractures: a review of the literature regarding the evolution of current thoughts on management. J Oral Maxillofac Surg 2003;61:1324– 32. Elio Hitoshi Shinohara ∗ Department of Oral and Maxillofacial Surgery, Conjunto Hospitalar do Mandaqui SUS/SP, S˜ ao Paulo, Brazil Marcelo Zillo Martini Department of Oral and Maxillofacial Surgery, Hospital do Tatuap´ e “Carmino Caricchio” SMS/SP, S˜ ao Paulo, Brazil ∗ Corresponding author at: Rua do Manifesto 198 apto 212 Torre 3, CEP 04209-000 Ipiranga, S˜ ao Paulo, Brazil E-mail address: [email protected] 30 November 2004 Available online 16 June 2005 0266-4356/$ – see front matter © 2005 The British Association of Oral and Maxillofacial Surgeons. Published by Elsevier Ltd. All rights reserved. doi:10.1016/j.bjoms.2005.04.016

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Transcript of 10.1016j.bjoms.2005.04.016.pdf

British Journal of Oral and Maxillofacial Surgery 44 (2006) 166

Letter to the Editor

‘Double barrel’ 2.0 mm miniplates to fix fractures of theneck of the mandibular condyle

The establishment of protocols for treatment reduces costsand allows studies between institutions to define the best pro-cedures to be adopted. As far as facial trauma is concerned,there are many systems of fixation with various kinds of platesand screws. However, access to some of these systems is lim-ited by the high cost of the materials used.

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We report a simple technique for dealing with fractures ofthe mandibular condyle. When open reduction of fracturesof the condylar neck is indicated,1,2 we use two superim-posed low profile miniplates of the 2.0 mm system and fixthem bicortically (Fig. 1). We use maxillomandibular block-ing only during the operation, and we have encountered nodisplacement or fracture of the plates. We think that thistechnique increases the stability of the fixation at minimalcost.

References

1. Zide MF, Kent JN. Indications for open reduction of mandibular condylefractures. J Oral Maxillofac Surg 1983;41:89–98.

2. Brandt MT, Haug RH. Open versus closed reduction of adult mandibularcondyle fractures: a review of the literature regarding the evolution ofcurrent thoughts on management. J Oral Maxillofac Surg 2003;61:1324–32.

Elio Hitoshi Shinohara∗Department of Oral and Maxillofacial Surgery,

Conjunto Hospitalar do Mandaqui SUS/SP,

Sao Paulo, Brazil

Marcelo Zillo Martini

ig. 1. ‘Double barrelled’ with two superimposed low profile miniplates ofhe 2.0 mm system and bicortical fixation. Note the Erich arch bars used toealign the maxillary fracture.

Department of Oral and Maxillofacial Surgery,Hospital do Tatuape “Carmino Caricchio” SMS/SP,

Sao Paulo, Brazil

∗ Corresponding author at: Rua do Manifesto198 apto 212 Torre 3, CEP 04209-000 Ipiranga,

Sao Paulo, BrazilE-mail address: [email protected]

30 November 2004Available online 16 June 2005