Operative Time Analysis of Miniplate Fixation of the Mandible

ABSTRACT

Our purpose in this study was to report and compare operating room times for the various methods of mandible fracture repair. We describe a methodology of treatment in selected patients, using efficient repair techniques; namely, miniplate fixation with four-screw mandibular occlusion. We report our outcomes in successful healing, occlusion, complications, and operating times. A retrospective chart review was performed of 68 patients suffering mandible fractures treated by various surgeons at a single institution. Miniplate fixation technique requires significantly less time in the operating room than other mandible repair techniques, including mandibulomaxillary fixation. Miniplate fixation technique is both an efficacious and an efficient means of repairing certain mandible fractures.

KEYWORDS

Mandible fractures - miniplate fixation - operative time

REFERENCES

• 1 Champy M, Lodde J P, Scmitt R, Jaeger J H, Muster D. Mandibular osteosynthesis by miniature screwed plates via a buccal approach.  J Maxillofac Surg. 1978;  6 14-21
• 2 Fedok F G, Van Kooten D W, Dejoseph L M, McGinn J D, Jacobs C R. Plating techniques and plate orientation in repair of mandibular angle fractures: an in vitro study.  Laryngoscope. 1998;  108 1218-1224
• 3 Fox A J, Kellman R M. Mandibular angle fractures: two-miniplate fixation and complications.  Arch Facial Plast Surg. 2003;  5 464-469
• 4 Levy F E, Smith R W, Odland R M, Marentette L J. Monocortical miniplate fixation of mandibular angle fractures.  Arch Otolaryngol Head Neck Surg. 1991;  117 149-154
• 5 Collins C P, Pirinjian-Leonard G, Tolas A, Alcalde R. A prospective randomized clinical trial comparing 2.0 mm locking plates to 2.0 mm standard plates in treatment of mandible fractures.  J Oral Maxillofac Surg. 2004;  62 1392-1395
• 6 Shetty V, Atchison K, Der-Martirosian C, Wang J, Belin T R. Determinants of surgical decisions about mandible fractures.  J Oral Maxillofac Surg. 2003;  61 808-813
• 7 Toma V S, Mathog R H, Toma R S, Meleca R J. Transoral versus extraoral reduction of mandible fractures: a comparison of complication rates and other factors.  Otolaryngol Head Neck Surg. 2003;  128 215-219
• 8 Kaplan B A, Joard M A, Park S S. Immediate mobilization following fixation of mandible fractures: a prospective, randomized study.  Laryngoscope. 2001;  111 1520-1524