AN INTRAOPERATIVE TECHNICAL AID TO MINIPLATING OF MANDIBULAR FRACTURES BY FRACTURE SEGMENT APPOSITION

Internal plate osteosynthesis and lag-screw osteosynthesis are current ly the preferred methods of fixation in the treatment of mandibular fr actures. Rigid internal fixation (RIF) provides for functionally stabl e immobilization of the segments, avoiding the need far postoperative intermaxillary fixation (IMF) by ''dental wiring'' in the majority of cases. Reduction and fixation can be provided by so-called compression plates (type AO/ASIF). Non compressive mini-plates are more extensive ly used, however, because their size and malleability facilitate their transoral application. Peroperative problems may arise with the anato mical reduction of the fragments. We present a simple fracture reducti on-compression technique that can be used in combination with either c ompression and noncompression mini-plate fixation. Its use can be exte nded to reduction and fixation in selected areas of difficult surgical access.