Use of a Y-Shaped Plate for Intermaxillary Fixation
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Auteurs : Tae Hoon Kim [Corée du Sud] ; Il Hyung Yang [Corée du Sud] ; Kyung Won Minn [Corée du Sud] ; Ung Sik Jin [Corée du Sud]Source :
- Archives of Craniofacial Surgery [ 2287-1152 ] ; 2015.
Abstract
Maxillomandibular fractures usually require intermaxillary fixation as a means to immobilize and stabilize the fracture and to re-establish proper occlusion. Arch bars or intermaxillary fixation screws cannot be used for edentulous patients or for patients who have poor dental health. Here, we present a case of repeated intermaxillary fixation failure in a patient weak alveolar rigidity secondary to multiple dental implants. Because single-point fixation screws were not strong enough to maintain proper occlusion, we have used Y-shaped plates to provide more rigid anchoring points for the intermaxillary wires. We suggest that this method should be considered for patients in whom conventional fixation methods are inappropriate or have failed.
Url:
DOI: 10.7181/acfs.2015.16.2.96
PubMed: 28913231
PubMed Central: 5556858
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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Use of a Y-Shaped Plate for Intermaxillary Fixation</title><author><name sortKey="Kim, Tae Hoon" sort="Kim, Tae Hoon" uniqKey="Kim T" first="Tae Hoon" last="Kim">Tae Hoon Kim</name><affiliation wicri:level="1"><nlm:aff id="A1">Department of Plastic and Reconstructive Surgery, Seoul National University College of Medicine, Seoul, Korea.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Corée du Sud</country><wicri:regionArea>Department of Plastic and Reconstructive Surgery, Seoul National University College of Medicine, Seoul</wicri:regionArea></affiliation></author><author><name sortKey="Yang, Il Hyung" sort="Yang, Il Hyung" uniqKey="Yang I" first="Il Hyung" last="Yang">Il Hyung Yang</name><affiliation wicri:level="1"><nlm:aff id="A2">Department of Orthodontics, Seoul National University Dental Hospital, Seoul, Korea.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Corée du Sud</country><wicri:regionArea>Department of Orthodontics, Seoul National University Dental Hospital, Seoul</wicri:regionArea></affiliation></author><author><name sortKey="Minn, Kyung Won" sort="Minn, Kyung Won" uniqKey="Minn K" first="Kyung Won" last="Minn">Kyung Won Minn</name><affiliation wicri:level="1"><nlm:aff id="A1">Department of Plastic and Reconstructive Surgery, Seoul National University College of Medicine, Seoul, Korea.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Corée du Sud</country><wicri:regionArea>Department of Plastic and Reconstructive Surgery, Seoul National University College of Medicine, Seoul</wicri:regionArea></affiliation></author><author><name sortKey="Jin, Ung Sik" sort="Jin, Ung Sik" uniqKey="Jin U" first="Ung Sik" last="Jin">Ung Sik Jin</name><affiliation wicri:level="1"><nlm:aff id="A1">Department of Plastic and Reconstructive Surgery, Seoul National University College of Medicine, Seoul, Korea.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Corée du Sud</country><wicri:regionArea>Department of Plastic and Reconstructive Surgery, Seoul National University College of Medicine, Seoul</wicri:regionArea></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">28913231</idno><idno type="pmc">5556858</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5556858</idno><idno type="RBID">PMC:5556858</idno><idno type="doi">10.7181/acfs.2015.16.2.96</idno><date when="2015">2015</date><idno type="wicri:Area/Pmc/Corpus">001B36</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">001B36</idno><idno type="wicri:Area/Pmc/Curation">001B36</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Curation">001B36</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Use of a Y-Shaped Plate for Intermaxillary Fixation</title><author><name sortKey="Kim, Tae Hoon" sort="Kim, Tae Hoon" uniqKey="Kim T" first="Tae Hoon" last="Kim">Tae Hoon Kim</name><affiliation wicri:level="1"><nlm:aff id="A1">Department of Plastic and Reconstructive Surgery, Seoul National University College of Medicine, Seoul, Korea.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Corée du Sud</country><wicri:regionArea>Department of Plastic and Reconstructive Surgery, Seoul National University College of Medicine, Seoul</wicri:regionArea></affiliation></author><author><name sortKey="Yang, Il Hyung" sort="Yang, Il Hyung" uniqKey="Yang I" first="Il Hyung" last="Yang">Il Hyung Yang</name><affiliation wicri:level="1"><nlm:aff id="A2">Department of Orthodontics, Seoul National University Dental Hospital, Seoul, Korea.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Corée du Sud</country><wicri:regionArea>Department of Orthodontics, Seoul National University Dental Hospital, Seoul</wicri:regionArea></affiliation></author><author><name sortKey="Minn, Kyung Won" sort="Minn, Kyung Won" uniqKey="Minn K" first="Kyung Won" last="Minn">Kyung Won Minn</name><affiliation wicri:level="1"><nlm:aff id="A1">Department of Plastic and Reconstructive Surgery, Seoul National University College of Medicine, Seoul, Korea.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Corée du Sud</country><wicri:regionArea>Department of Plastic and Reconstructive Surgery, Seoul National University College of Medicine, Seoul</wicri:regionArea></affiliation></author><author><name sortKey="Jin, Ung Sik" sort="Jin, Ung Sik" uniqKey="Jin U" first="Ung Sik" last="Jin">Ung Sik Jin</name><affiliation wicri:level="1"><nlm:aff id="A1">Department of Plastic and Reconstructive Surgery, Seoul National University College of Medicine, Seoul, Korea.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Corée du Sud</country><wicri:regionArea>Department of Plastic and Reconstructive Surgery, Seoul National University College of Medicine, Seoul</wicri:regionArea></affiliation></author></analytic><series><title level="j">Archives of Craniofacial Surgery</title><idno type="ISSN">2287-1152</idno><idno type="eISSN">2287-5603</idno><imprint><date when="2015">2015</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p>Maxillomandibular fractures usually require intermaxillary fixation as a means to immobilize and stabilize the fracture and to re-establish proper occlusion. Arch bars or intermaxillary fixation screws cannot be used for edentulous patients or for patients who have poor dental health. Here, we present a case of repeated intermaxillary fixation failure in a patient weak alveolar rigidity secondary to multiple dental implants. Because single-point fixation screws were not strong enough to maintain proper occlusion, we have used Y-shaped plates to provide more rigid anchoring points for the intermaxillary wires. We suggest that this method should be considered for patients in whom conventional fixation methods are inappropriate or have failed.</p></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="De Queiroz, Sb" uniqKey="De Queiroz S">SB de Queiroz</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Rai, A" uniqKey="Rai A">A Rai</name></author><author><name sortKey="Datarkar, A" uniqKey="Datarkar A">A Datarkar</name></author><author><name sortKey="Borle, Rm" uniqKey="Borle R">RM Borle</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Wolfe, Sa" uniqKey="Wolfe S">SA Wolfe</name></author><author><name sortKey="Lovaas, M" uniqKey="Lovaas M">M Lovaas</name></author><author><name sortKey="Mccafferty, Lr" uniqKey="Mccafferty L">LR McCafferty</name></author></analytic></biblStruct></listBibl></div1></back></TEI><pmc article-type="case-report"><pmc-dir>properties open_access</pmc-dir>
<front><journal-meta><journal-id journal-id-type="nlm-ta">Arch Craniofac Surg</journal-id><journal-id journal-id-type="iso-abbrev">Arch Craniofac Surg</journal-id><journal-id journal-id-type="publisher-id">ACFS</journal-id><journal-title-group><journal-title>Archives of Craniofacial Surgery</journal-title></journal-title-group><issn pub-type="ppub">2287-1152</issn><issn pub-type="epub">2287-5603</issn><publisher><publisher-name>The Korean Cleft Palate-Craniofacial Association</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="pmid">28913231</article-id><article-id pub-id-type="pmc">5556858</article-id><article-id pub-id-type="doi">10.7181/acfs.2015.16.2.96</article-id><article-categories><subj-group subj-group-type="heading"><subject>Case Report</subject></subj-group></article-categories><title-group><article-title>Use of a Y-Shaped Plate for Intermaxillary Fixation</article-title></title-group><contrib-group><contrib contrib-type="author"><name><surname>Kim</surname><given-names>Tae Hoon</given-names></name><xref ref-type="aff" rid="A1">1</xref></contrib><contrib contrib-type="author"><name><surname>Yang</surname><given-names>Il Hyung</given-names></name><xref ref-type="aff" rid="A2">2</xref></contrib><contrib contrib-type="author"><name><surname>Minn</surname><given-names>Kyung Won</given-names></name><xref ref-type="aff" rid="A1">1</xref></contrib><contrib contrib-type="author" corresp="yes"><name><surname>Jin</surname><given-names>Ung Sik</given-names></name><xref ref-type="aff" rid="A1">1</xref></contrib></contrib-group><aff id="A1"><label>1</label>Department of Plastic and Reconstructive Surgery, Seoul National University College of Medicine, Seoul, Korea.</aff><aff id="A2"><label>2</label>Department of Orthodontics, Seoul National University Dental Hospital, Seoul, Korea.</aff><author-notes><corresp>Correspondence: Ung Sik Jin. Department of Plastic and Reconstructive Surgery, Seoul National University College of Medicine, 101 Daehak-ro, Jongno-gu, Seoul 03080, Korea. <email>usj1011@snu.ac.kr</email></corresp></author-notes><pub-date pub-type="ppub"><month>8</month><year>2015</year></pub-date><pub-date pub-type="epub"><day>11</day><month>8</month><year>2015</year></pub-date><volume>16</volume><issue>2</issue><fpage>96</fpage><lpage>98</lpage><history><date date-type="received"><day>15</day><month>2</month><year>2015</year></date><date date-type="rev-recd"><day>16</day><month>4</month><year>2015</year></date><date date-type="accepted"><day>04</day><month>8</month><year>2015</year></date></history><permissions><copyright-statement>© 2015 The Korean Cleft Palate-Craniofacial Association</copyright-statement><copyright-year>2015</copyright-year><license license-type="open-access" xlink:href="http://creativecommons.org/licenses/by-nc/3.0/"><license-p>This is an open-access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (<ext-link ext-link-type="uri" xlink:href="http://creativecommons.org/licenses/by-nc/3.0/">http://creativecommons.org/licenses/by-nc/3.0/</ext-link>), which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.</license-p></license></permissions><abstract><p>Maxillomandibular fractures usually require intermaxillary fixation as a means to immobilize and stabilize the fracture and to re-establish proper occlusion. Arch bars or intermaxillary fixation screws cannot be used for edentulous patients or for patients who have poor dental health. Here, we present a case of repeated intermaxillary fixation failure in a patient weak alveolar rigidity secondary to multiple dental implants. Because single-point fixation screws were not strong enough to maintain proper occlusion, we have used Y-shaped plates to provide more rigid anchoring points for the intermaxillary wires. We suggest that this method should be considered for patients in whom conventional fixation methods are inappropriate or have failed.</p></abstract><kwd-group><kwd>Mandible</kwd><kwd>Jaw fixation techniques</kwd><kwd>Titanium plate</kwd><kwd>Mandibular reconstruction</kwd></kwd-group></article-meta></front><floats-group><fig id="F1" orientation="portrait" position="float"><label>Fig. 1</label><caption><title>Postoperative panorama view after the first operation. Most of the dentition consisted of dental implants.</title></caption><graphic xlink:href="acfs-16-96-g001"></graphic></fig><fig id="F2" orientation="portrait" position="float"><label>Fig. 2</label><caption><title>Occlusal view prior to the third operation shows an anterior open bite.</title></caption><graphic xlink:href="acfs-16-96-g002"></graphic></fig><fig id="F3" orientation="portrait" position="float"><label>Fig. 3</label><caption><title>Occlusal view at 30 days after the third operation demonstrates maintenance of proper occlusion. Black arrows indicate exposed tails of Y-shaped plates. White arrows indicate intermaxillary fixation screws.</title></caption><graphic xlink:href="acfs-16-96-g003"></graphic></fig><fig id="F4" orientation="portrait" position="float"><label>Fig. 4</label><caption><title>Panorama view at 3 days after the third operation shows the Y-shaped plates. Black arrows indicate exposed tails of Y-shaped plates. White arrows indicate intermaxillary fixation screws.</title></caption><graphic xlink:href="acfs-16-96-g004"></graphic></fig><fig id="F5" orientation="portrait" position="float"><label>Fig. 5</label><caption><title>Occlusal view at 5 days after plate removal. Occlusion continues to be proper, and the mucosal wound is healing well.</title></caption><graphic xlink:href="acfs-16-96-g005"></graphic></fig></floats-group></pmc></record>Pour manipuler ce document sous Unix (Dilib)
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