The use of Synthes MatrixWAVE bone anchored arch bars for closed treatment of multiple concurrent mandibular fractures
Identifieur interne : 000020 ( Pmc/Checkpoint ); précédent : 000019; suivant : 000021The use of Synthes MatrixWAVE bone anchored arch bars for closed treatment of multiple concurrent mandibular fractures
Auteurs : Elizabeth Kiwanuka ; Rajiv Iyengar ; Charles Christopher Jehle ; Raman Mehrzad ; Daniel KwanSource :
- Journal of Oral Biology and Craniofacial Research [ 2212-4268 ] ; 2017.
Abstract
Maxillomandibular fixation (MMF) is an important tool in the treatment of facial fractures and bone-anchored arch bar systems have emerged as treatment options. This study illustrates our experience with the Synthes MatrixWAVE MMF system and the novel application in closed treatment of patients with multiple concurrent mandibular fractures.
We enrolled eight patients with concurrent mandibular fractures and treated them with the MatrixWAVE MMF system. The malleable arch bars were fitted and then secured using 6–8 mm screws. The arch bar was and either stretched or compressed to ensure optimal positioning. 24-gauge interdental fixation wiring was placed using the fish loop technique on either side of the fracture to achieve stabilization of the mandible fractures.
All eight patients were retained in MMF until stable occlusion was achieved with clinical evidence of healing, approximately 4–6 weeks. Post-operative Panorex scans did not reveal any evidence of damage to tooth roots. None of the screws became overly embedded in the mucosa secondary to overgrowth; the arch bars were successfully removed in an outpatient setting without local anesthesia.
The Synthes MatrixWAVE MMF system has unique features such as prominent screw anchor heads and horizontal malleability unique from other bone anchored arch bars. These features allow for completely closed treatment of patients with multiple concurrent mandible fractures.
Url:
DOI: 10.1016/j.jobcr.2017.08.006
PubMed: 29123991
PubMed Central: 5670305
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<front><journal-meta><journal-id journal-id-type="nlm-ta">J Oral Biol Craniofac Res</journal-id><journal-id journal-id-type="iso-abbrev">J Oral Biol Craniofac Res</journal-id><journal-title-group><journal-title>Journal of Oral Biology and Craniofacial Research</journal-title></journal-title-group><issn pub-type="ppub">2212-4268</issn><issn pub-type="epub">2212-4276</issn><publisher><publisher-name>Elsevier</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="pmid">29123991</article-id><article-id pub-id-type="pmc">5670305</article-id><article-id pub-id-type="publisher-id">S2212-4268(17)30176-8</article-id><article-id pub-id-type="doi">10.1016/j.jobcr.2017.08.006</article-id><article-categories><subj-group subj-group-type="heading"><subject>Original Article</subject></subj-group></article-categories><title-group><article-title>The use of Synthes MatrixWAVE bone anchored arch bars for closed treatment of multiple concurrent mandibular fractures</article-title></title-group><contrib-group><contrib contrib-type="author"><name><surname>Kiwanuka</surname><given-names>Elizabeth</given-names></name><email>elizabeth.kiwanuak@gmail.com</email><xref rid="cor0005" ref-type="corresp">⁎</xref></contrib><contrib contrib-type="author"><name><surname>Iyengar</surname><given-names>Rajiv</given-names></name></contrib><contrib contrib-type="author"><name><surname>Jehle</surname><given-names>Charles Christopher</given-names></name></contrib><contrib contrib-type="author"><name><surname>Mehrzad</surname><given-names>Raman</given-names></name></contrib><contrib contrib-type="author"><name><surname>Kwan</surname><given-names>Daniel</given-names></name></contrib></contrib-group><aff id="aff0005">Department of Plastic Surgery, Rhode Island Hospital, Brown University School of Medicine, Providence, RI, United States</aff><author-notes><corresp id="cor0005"><label>⁎</label>Corresponding author at: Department of Plastic Surgery, Rhode Island Hospital, 2 Dudley Street, Suite 500, Providence, RI 02905, United States.Department of Plastic Surgery, Rhode Island Hospital2 Dudley Street, Suite 500ProvidenceRI02905United States <email>elizabeth.kiwanuak@gmail.com</email></corresp></author-notes><pub-date pub-type="pmc-release"><day>01</day><month>9</month><year>2017</year></pub-date><pmc-comment> PMC Release delay is 0 months and 0 days and was based on .</pmc-comment>
<pub-date pub-type="ppub"><season>Sep-Dec</season><year>2017</year></pub-date><pub-date pub-type="epub"><day>01</day><month>9</month><year>2017</year></pub-date><volume>7</volume><issue>3</issue><fpage>153</fpage><lpage>157</lpage><history><date date-type="received"><day>24</day><month>7</month><year>2017</year></date><date date-type="accepted"><day>29</day><month>8</month><year>2017</year></date></history><permissions><copyright-statement>© 2017 Craniofacial Research Foundation. All rights reserved.</copyright-statement><copyright-year>2017</copyright-year><copyright-holder>Craniofacial Research Foundation</copyright-holder></permissions><abstract id="abs0005"><sec><title>Background</title><p>Maxillomandibular fixation (MMF) is an important tool in the treatment of facial fractures and bone-anchored arch bar systems have emerged as treatment options. This study illustrates our experience with the Synthes MatrixWAVE MMF system and the novel application in closed treatment of patients with multiple concurrent mandibular fractures.</p></sec><sec><title>Methods</title><p>We enrolled eight patients with concurrent mandibular fractures and treated them with the MatrixWAVE MMF system. The malleable arch bars were fitted and then secured using 6–8 mm screws. The arch bar was and either stretched or compressed to ensure optimal positioning. 24-gauge interdental fixation wiring was placed using the fish loop technique on either side of the fracture to achieve stabilization of the mandible fractures.</p></sec><sec><title>Results</title><p>All eight patients were retained in MMF until stable occlusion was achieved with clinical evidence of healing, approximately 4–6 weeks. Post-operative Panorex scans did not reveal any evidence of damage to tooth roots. None of the screws became overly embedded in the mucosa secondary to overgrowth; the arch bars were successfully removed in an outpatient setting without local anesthesia.</p></sec><sec><title>Conclusions</title><p>The Synthes MatrixWAVE MMF system has unique features such as prominent screw anchor heads and horizontal malleability unique from other bone anchored arch bars. These features allow for completely closed treatment of patients with multiple concurrent mandible fractures.</p></sec></abstract><kwd-group id="kwd0005"><title>Keywords</title><kwd>Mandibular fracture</kwd><kwd>Maxillomandibular fixation</kwd><kwd>Arch bars</kwd><kwd>Intermaxillary screws</kwd></kwd-group></article-meta></front></pmc><affiliations><list></list><tree><noCountry><name sortKey="Iyengar, Rajiv" sort="Iyengar, Rajiv" uniqKey="Iyengar R" first="Rajiv" last="Iyengar">Rajiv Iyengar</name><name sortKey="Jehle, Charles Christopher" sort="Jehle, Charles Christopher" uniqKey="Jehle C" first="Charles Christopher" last="Jehle">Charles Christopher Jehle</name><name sortKey="Kiwanuka, Elizabeth" sort="Kiwanuka, Elizabeth" uniqKey="Kiwanuka E" first="Elizabeth" last="Kiwanuka">Elizabeth Kiwanuka</name><name sortKey="Kwan, Daniel" sort="Kwan, Daniel" uniqKey="Kwan D" first="Daniel" last="Kwan">Daniel Kwan</name><name sortKey="Mehrzad, Raman" sort="Mehrzad, Raman" uniqKey="Mehrzad R" first="Raman" last="Mehrzad">Raman Mehrzad</name></noCountry></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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