Carlson Anna Rose, Shammas Ronnie Labib, Allori Alexander Christopher, Powers David Bryan
Department of Surgery, Division of Plastic, Maxillofacial and Oral Surgery, Duke University Medical Center, Durham, N.C.; and Duke University School of Medicine, Durham, N.C.
Plast Reconstr Surg Glob Open. 2017 Sep 5;5(9):e1473. doi: 10.1097/GOX.0000000000001473. eCollection 2017 Sep.
Establishing anatomic reduction of an edentulous mandible fracture is a frequently acknowledged challenge in craniomaxillofacial trauma surgery. In this study, we report a novel method for the reduction of the edentulous mandible fracture, via fabrication of modified Gunning splints using existing dentures and SMARTLock hybrid arch bars. This technique dramatically simplifies the application of an arch bar to dentures, obviates the need for the fabrication of impressions and custom splints, and eliminates the lag time associated with the creation of splints. Furthermore, this method may be used with or without adjunctive rigid internal fixation. The technique described herein of creating Gunning splints with SMARTLock hybrid arch bars provides surgeons with a simple, rapid, single-stage solution for reduction of mandibular fractures in the edentulous patient.
在颅颌面创伤外科手术中,实现无牙下颌骨骨折的解剖复位是一项公认的常见挑战。在本研究中,我们报告了一种通过使用现有假牙和SMARTLock混合牙弓夹板制作改良甘氏夹板来复位无牙下颌骨骨折的新方法。该技术极大地简化了牙弓夹板在假牙上的应用,无需制作印模和定制夹板,并且消除了与制作夹板相关的延迟时间。此外,该方法可在有或没有辅助刚性内固定的情况下使用。本文所述的用SMARTLock混合牙弓夹板制作甘氏夹板的技术为外科医生提供了一种简单、快速、单阶段的解决方案来复位无牙患者的下颌骨骨折。