Lag Screw in Mandibular Plate Technique for Sagittal Splitting Mandibular Fractures

Reyad, Khaled A; Almahmoudy, Niveen F

doi:10.21608/ejprs.2020.68184

Lag Screw in Mandibular Plate Technique for Sagittal Splitting Mandibular Fractures

Document Type : Original Article

Authors

The Department of Plastic, Burn and Maxillofacial Surgery, Faculty of Medicine, Ain Shams University, Cairo, Egypt

10.21608/ejprs.2020.68184

Abstract

Background: Mandibular fractures with sagittal splitting
and splaying of both the lingual and buccal cortices poses a
challenge in their fixation as screws may push the lingual
cortex during screw tightening resulting in widening of the
mandible.
Methods: Screw lagging inside the lower mandibular plate
technique may help approximation of the near and far cortices
during screw tightening, this was applied for eight cases with
mandibular fractures.
Results: The splaying between the two cortices was
prevented regaining its normal medullary space width.
Conclusion: Using the screw lagging inside the plate
technique may be a safe technique used in mandibular fractures
that have cortical splaying

Keywords

Lag screw – Mandibular – Fractures

Main Subjects

Maxillofacial and cranio-maxillo-facial surgery

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