Various techniques of obtaining IMF have been explained in the literature, these include but are not limited to; arch bars
, ivy loop wiring and Ernest ligatures.
Among 83 of total maxillary fractures 33 patients (39%) were treated by ORIF using microplates of 1.5 mm thickness and 50 patients (61%) were treated conservatively using arch bars
or custom fabricated splints followed by MMF and suspension wiring (circumzygomatic suspension in Lefort II and frontomandibular suspension in Lefort III) showing a more conservative approach being adopted at our centre for maxillary fractures.
The screws have self-drilling locking technology, designed to allow purchase into both the bone and the plate for additional stability, and to eliminate the need for interdental wiring typically required with arch bars
Mr Edwards, from Staffordshire, said: "My jaw looks like it will be OK, although I've got arch bars
across my teeth and will have a titanium plate in my chin for life.
"Those plates will be in permanently and I also have arch bars
in my mouth to lock my jaw so that it opens and closes.
"One of the worst things was that I had to have elasticated bands attached to bridges called arch bars
. These linked my upper and lower jaws which meant I couldn't even get a spoon into my mouth and had to have a liquid diet.
However as time progressed various methods were attempted to secure and treat palatal fractures.9 Digital pressure is often employed for reducing palatal fractures how- ever often the segments are displaced in those cases a specially designed forceps may be used to achieve reduction.7 Methods of fixation include arch bars
K wires trans-palatal wire or a palatal bar and mini plates.1011 Other methods like figure of eight wiring and pyriform wiring have also been used to secure and stabilize palatal fractures.12