Mandible fractures are a frequent injury because of the mandible’s prominence and relative lack of support. As with any facial fracture, consideration must be given for the need of emergency treatment to secure the airway or to obtain hemostasis if necessary before initiating definitive treatment of the fracture.
The use of preoperative and perioperative antibiotics in the treatment of mandible fractures, especially in the dentate portion is well established to reduce the risk of infection.
CLOSED REDUCTION
can be achieved using Erich s arch bars and circumdental wiring,, Ivy loops,, Bridle wiring,,
A variety of wiring techniques (eg, Essig wire, continuous-loop [Stout] wiring) besides those mentioned above has been used for closed reduction and intermaxillary fixation.
OPEN REDUCTION
Wire osteosynthesis
This is rarely used for definitive fixation since the advent of rigid fixation.[54] However, it may be useful for help in alignment of fractured segments prior to rigid fixation.#
This can be placed either by an intraoral or extraoral route. The wire should be a prestretched soft stainless steel.#
A straight wire can be used across the fracture site. This is placed so the direction of pull of the wire is perpendicular to the fracture site. This can be placed as a monocortical or bicortical wire.
A figure-of-8 wire can provide increased strength at the superior and inferior borders compared to the straight wire.These can be achieved by either of the following approaches such as submandibular approach, pre-auricular approach or retromandibular approach
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