Khater, M., El Henawy, A., Abo Rady, A., Mohammed, A., Salem, A. (2020). Expanding the Use of Orthodontic Appliance in the Management of Maxillo-Mandibular Fractures. The Egyptian Journal of Plastic and Reconstructive Surgery, 44(1), 53-63. doi: 10.21608/ejprs.2020.88890
Manar Khater; Ayman Noaman El Henawy; Ahmed Fathy Abo Rady; Ashraf El Sebai Mohammed; Ahmed Safwat Salem. "Expanding the Use of Orthodontic Appliance in the Management of Maxillo-Mandibular Fractures". The Egyptian Journal of Plastic and Reconstructive Surgery, 44, 1, 2020, 53-63. doi: 10.21608/ejprs.2020.88890
Khater, M., El Henawy, A., Abo Rady, A., Mohammed, A., Salem, A. (2020). 'Expanding the Use of Orthodontic Appliance in the Management of Maxillo-Mandibular Fractures', The Egyptian Journal of Plastic and Reconstructive Surgery, 44(1), pp. 53-63. doi: 10.21608/ejprs.2020.88890
Khater, M., El Henawy, A., Abo Rady, A., Mohammed, A., Salem, A. Expanding the Use of Orthodontic Appliance in the Management of Maxillo-Mandibular Fractures. The Egyptian Journal of Plastic and Reconstructive Surgery, 2020; 44(1): 53-63. doi: 10.21608/ejprs.2020.88890
Expanding the Use of Orthodontic Appliance in the Management of Maxillo-Mandibular Fractures
The Department of General Surgery, Plastic Surgery Unit, Faculty of Medicine, Cairo University
Abstract
Background: Maxillofacial fractures are common presentation in Plastic Surgery Emergency Department. Many techniques of maxillary mandibular fixation have evolved over the years. Orthodontic appliance technique as a reliable method for Maxillary-mandibular fixation has been introduced. Methods: Prospective clinical study was conducted on 20 patients complaining of different types of maxillo-facial fractures who were candidates for maxillary-mandibular fixation with or without open reduction and internal fixation. The objective of the study is to demonstrate technical feasibility, overall outcomes and complications of the technique, in the period from October 2017 till March 2018 at in the Emergency Plastic Surgery Department in Cairo University Hospital. Results: In suitable cases orthodontic brackets and elastics can be used as an effective method of Maxillary-mandibular fixation with good patients' satisfaction. It can reduce the hospital admission rate and need for general anesthesia; it will not only reduce costs for the hospital but also costs for the patient. Conclusion: Orthodontic brackets technique's stability allowed using it as a maxillary mandibular fixation even alone or with open reduction and internal fixation, thus it used as an effective method for maxillary-mandibular fixation, and has proven to cause a significant impact on returning the patients to their pre-traumatic bite. This makes it able to replace the Erich arch bar in maxillofacial fracture as a method of maxillary-mandibular fixation. Orthodontic brackets technique has shown to offer patients better oral hygiene, convenience and no mucosal injuries.
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