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Recent advances in fixation of the craniomaxillofacial skeleton.

Authors :
Meslemani D
Kellman RM
Source :
Current opinion in otolaryngology & head and neck surgery [Curr Opin Otolaryngol Head Neck Surg] 2012 Aug; Vol. 20 (4), pp. 304-9.
Publication Year :
2012

Abstract

Purpose of Review: Fixation of the craniomaxillofacial skeleton is an evolving aspect for facial plastic, oral and maxillofacial, and plastic surgery. This review looks at the recent advances that aid in reduction and fixation of the craniomaxillofacial skeleton.<br />Recent Findings: More surgeons are using resorbable plates for craniomaxillofacial fixation. A single miniplate on the inferior border of the mandible may be sufficient to reduce and fixate an angle fracture. Percutaneous K-wires may assist in plating angle fractures. Intraoperative computed tomography (CT) may prove to be useful for assessing reduction and fixation.<br />Summary: Resorbable plates are becoming increasingly popular in orthognathic surgery and facial trauma surgery. There are newer operative techniques for fixating the angle of the mandible. Also, the utilization of the intraoperative CT provides immediate feedback for accurate reduction and fixation. Prebent surgical plates save operative time, decrease errors, and provide more accurate fixation.

Details

Language :
English
ISSN :
1531-6998
Volume :
20
Issue :
4
Database :
MEDLINE
Journal :
Current opinion in otolaryngology & head and neck surgery
Publication Type :
Academic Journal
Accession number :
22614719
Full Text :
https://doi.org/10.1097/MOO.0b013e3283543a9d