Osteosynthesis with Miniature Screwed Plates in Maxillo-Facial Surgery

Abstract

This report describes the application of technique for miniaturized screwed osteosynthesis plates inmaxillo-facial surgery. This plate is easily shaped and moulded using modeling pliers or byhand, so it can be adapted to almost all facial bone surfaces. During the past 3 years, 28 patients for 49 maxillo-facial fractures have been treated by this technique. This technique can be used for many types of mandibular fractures, including fractures of condyle, zygomatic complex fractures, and upper or lower orbital rim fractures. This technique has the following advantages: (1) the surgical approach is simple with small incisions, (2) inter-maxillary fixation is hardly necessary, (3) the technique is apPlicable to almost all facial bone fractures with small bone fragments, and (4) the necessity for removing the plates is greatly reduced. We have not encountered any complications or side effects.