KBB-Forum 2005 , Cilt 4, Sayı 1

MAXILLOMANDIBULAR FIXATION WITH TITANIUM INTERMAXILLARY FIXATION SCREWS

Dr. Kayhan ÖZTÜRK, Dr. Bahar KELEŞ, Dr. Hamdi ARBAĞ, Dr. Hüseyin YAMAN, Dr. Ziya CENİK
Selçuk Üniversitesi Meram Tıp Fakültesi, Kulak Burun Boğaz, Konya, Türkiye Objectives: The aim of this study is evaluation of advantages and disadvantages of intermaxillary fixation screws for the management of mandible fractures.

Patients and Methods: Data of 12 patients with mandible fracture who were treated by using intermaxillary fixation screws between 2002 and 2004, were evaluated. Sex and age distributions of patients, etiology of trauma, localization of the fractures, treatment methods and complications were recorded.

Results: There were 2 female and 10 male patients (ages ranged from 6 to 78 years, average age 46.2+18.2 years). Eight patients (67%) with favorable mandible fracture and four patients (33%) with unfavorable mandible fracture were determined. Malocclusion was occurred in the one patient (8.3%).

Conclusion: Intermaxillary fixation screws can be used for management of those patients with favorable mandible fractures, patients for whom arch bar application can not be performed because of teeth deficiency, and patients with unfavorable mandible fracture who underwent open reduction and miniplate fixation in order to obtain occlusion. Keywords : Intermaxillary fixation screws, malocclusion, mandible fracture.