.

ISSN 2063-5346
For urgent queries please contact : +918130348310

Possible Role of Tension band Wiring on Fracture Mandible Reduction and Fixation

Main Article Content

Alaa Nabil Elsadek, Ahmed Mohamed Aly, Khaled Mohamed Elkatcha
» doi: 10.53555/ecb/2023.12.Si12.260

Abstract

There are numerous classification methods that have been given in the literature on maxillofacial trauma, but no one system that all practitioners agree upon can be used to standardise communication. The most commonly referenced scheme is classification by anatomic region: condyle, body, angle,symphysis, ramus, and coronoid. The primary goals in management are to restore the mechanical strength of the fracture area to that of its premorbid occlusion and to promote the normal function of the masticatory muscles. Restoring the fractured fragments to their original anatomical positions is the first step in treatment. The fixing of the components in their natural anatomical positions is the second phase. Development in plating systems and technical knowledge regarding the osteosynthesis has made open reductions and rigid internal fixation as the most frequently used mode of treatment in facial skeleton fractures. Various modalities for fracture reduction/stabilization during fixation have been mentioned in literature, describing the use of custom made instruments or reduction forceps etc. Tension band wiring is quick, simple and effective way of achieving initial reduction and stabilization of bone prior to final rigid fixation. The added advantages are reduced operating time, reduced instrumentation and assistance which in turn provide clear and more accessible surgical.

Article Details