Application of Anatomically Designed 2-Dimensional V Plate in Management of Mandible Fracture: A Pilot Study

• Published in: Journal of maxillofacial and oral surgery Vol. 21; no. 4; pp. 1363 - 1368
• Main Authors: Bhagat, M. James Antony, Durairaj, D., Naganathan, Velmurugan, Nathiya, B., Kumar, G. Suresh, Mariam, S.
• Format: Journal Article
• Language: English
• Published: New Delhi Springer India 01.12.2022; Springer Nature B.V
• Subjects: Bone density; Clinical Paper; Dentistry; Design; Fractures; Infections; Medicine; Medicine & Public Health; Oral and Maxillofacial Surgery; Otorhinolaryngology; Patients; Pilot projects; Plastic Surgery; Trauma; Miniplate; V plate; 3D plate; Hounsfield value; ORIF; Mandible fractures
• ISSN: 0972-8279; 0974-942X
• DOI: 10.1007/s12663-021-01558-5

Background Mandible is the only mobile facial jaw bone and it aides in various functions such as phonation and mastication. Therefore, management of mandible fracture becomes inevitable due to its functional and anatomical importance. Fracture fixation methods and techniques have steadily evolved with various osteosynthesis systems. In this article, we discuss the management of mandible fracture using a newly designed two-dimensional (2D) hybrid V-shaped plate. Purpose In this paper, we have evaluated the efficacy of the newly developed 2D V-shaped locking plate in the management of mandibular fractures. Method We have assessed 12 cases of different mandibular fractures ranging from symphysis, parasymphysis, angle and subcondylar region. Treatment outcome was assessed both clinically and radiologically at regular intervals with various intraoperative and postoperative parameters. Result Results of this study suggest that fixation of mandible fracture with the 2D hybrid V-shaped plate facilitates anatomic reduction and functional stability and carries a low morbidity and infection rate. Conclusion The 2D anatomic hybrid V-shaped plate can be a suitable alternative to conventional miniplate and 3D plates as it offers satisfactory anatomic reduction and functional stability. Positioning the plate in relation to the mental nerve and plate adaptation along the angle region are much easier.