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June 1989

Augmented Fixation of Mandibular Fractures With a Threaded Kirschner Wire

Author Affiliations

From the Division of Otolaryngology–Head and Neck Surgery, University of Rochester (NY) School of Medicine and Dentistry and Strong Memorial Hospital, Rochester, NY.

Arch Otolaryngol Head Neck Surg. 1989;115(6):699-704. doi:10.1001/archotol.1989.01860300053016

• The maxillofacial surgeon uses a variety of techniques when treating mandibular fractures. The aim of treatment is to restore structure and function while minimizing morbidity. This requires adequate anatomic reduction and immobilization. The surgeon's choice of techniques should be safe, simple, economic, and effective. In this article, we discuss a previously described, yet little known, technique that fulfilled these criteria. The technique of augmented fixation of mandibular fractures using a threaded basal Kirschner wire was successfully used in seven patients. It offered the distinct advantage of rigid basal fixation that augmented interosseous and maxillomandibular fixation techniques. It was especially effective in stabilizing and promoting bone healing in unfavorable comminuted parasymphyseal fractures. Its ease and rapidity of application from readily available materials made it an effective alternate to elaborate techniques such as compression-plating systems.

(Arch Otolaryngol Head Neck Surg 1989;115:699-704)

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