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Repair of Complicated Mandibular Defects
Donald W. Shrewsbury, MD;
William L. Meyerhoff, MD, PhD;
Edward H. Szachowicz, MD
Arch Otolaryngol. 1982;108(3):162-166.
Abstract
• In most instances, the injured mandible can be successfully repaired with arch bars and intermaxillary fixation. However, it is important to identify certain potential problem situations early and apply special techniques for their treatment. Potential management problems, such as the noncompliant patient, the edentulous patient, gunshot wounds, radiated mandibles, tumors, and osteomyelitis, are reviewed. The use of special techniques, eg, the dynamic compression plate, the Morris biphase apparatus, the cobalt-chromium alloy (Vitallium) basket, a suction-irrigation apparatus, and the mandibular reconstruction plate, are described to show how they may be effectively applied to these special situations. With early recognition of these management problems and proper application of these more sophisticated techniques, the quality of care for patients with manidbular injuries can be enhanced.
(Arch Otolaryngol 1982;108:162-166)
Author Affiliations
From the Departments of Otolaryngology, University of Minnesota (Drs Shrewsbury, Meyerhoff, and Szachowicz) and Hennepin County Medical Center (Dr Meyerhoff), Minneapolis. Dr Shrewsbury is now in private practice in Minneapolis.
Footnotes
Accepted for publication Aug 10, 1981.
Read before the American Academy of Facial Plastic and Reconstructive Surgery, Vancouver, British Columbia, May 14, 1981.
Reprint requests to Department of Otolaryngology, University of Minnesota, A605 Mayo Memorial Bldg, 420 Delaware St SE, Minneapolis, MN 55455 (Dr Meyerhoff).
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