Abstract
Introduction
Various methods are deployed by an oral and maxillofacial surgeon to control the osteotomised/ fractured bony segments intraoperatively till the time a stable fixation in the desired position is achieved. Few of these include the use of bone holding crocodile forceps, towel clips, reduction forceps, wires, digital control (Thota and Mitchell in Br J Orthod 26(4):325, 1999). In our technique, we present the use of an IMF screw to manipulate bony segments intraoperatively.
Materials and Methods
We used this novel technique in a series of 12 patients. An IMF screw was fixed in the greatest bulk of the bony fragment so as to control it and hold it in the desired position in various surgical procedures.
Conclusion
This technique was found to be minimally invasive and easy to perform to achieve a good hold and control of the bony segments.
References
Thota LG, Mitchell DA (1999) Cortical bone screws for maxillomandibular fixation in orthognathic surgery. Br J Orthod 26(4):325
Roccia F, Tavolaccini A, Dell’Acqua A, Fasolis M (2005) An audit of mandibular fractures treated by intermaxillary fixation using intraoral cortical bone screws. J Craniomaxillofac Surg 33(4):251–254
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Andrade, N.N., Choradia, S.S., Aggarwal, N. et al. Intraoperative Manipulation of Bony Segments: An Innovative Method. J. Maxillofac. Oral Surg. 17, 632–633 (2018). https://doi.org/10.1007/s12663-018-1084-5
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DOI: https://doi.org/10.1007/s12663-018-1084-5