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March 1993

Lag Screw Fixation in the Upper Craniomaxillofacial Skeleton

Author Affiliations

From the Division of Head and Neck Plastic and Reconstructive Surgery, Department of Otolaryngology—Head and Neck Surgery, University of Iowa Hospitals and Clinics, Iowa City (Dr Frodel); and the University Center for Craniofacial—Skull Base Surgery, Department of Otolaryngology, University of Minnesota, Minneapolis (Dr Marentette). Dr Frodel is now with The Johns Hopkins School of Medicine, Baltimore, Md.

Arch Otolaryngol Head Neck Surg. 1993;119(3):297-304. doi:10.1001/archotol.1993.01880150051008

• Rigid internal fixation of the craniomaxillofacial skeleton has become commonplace in osseous reconstructive procedures of the face. While miniplates are useful in many traumatic, reconstructive, and congenital anomaly cases, they are often unnecessary. Lag screw fixation is routinely used in the mandible and has the advantage of maximal stability when compared with other fixation techniques. These principles can similarly be applied in a variety of situations in the upper facial skeleton, including fracture and bone graft fixation, as well as in pediatric craniofacial surgery. We review the technique and appropriate indications and demonstrate via case examples this diversity of applicability for using lag screw techniques. Finally, results of 83 cases in which this technique has been used will be reviewed, including complications.

(Arch Otolaryngol Head Neck Surg. 1993;119:297-304)

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