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Mandibular Fractures

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Manual of Internal Fixation in the Cranio-Facial Skeleton

Abstract

The aim of adequate internal fixation of facial fractures including mandibular restoration of form and function with plates and screws is to provide for undisturbed healing under the condition of function and without any period of intermaxillary fixation (IMF). It is therefore necessary to carry out an adequate fixation for each individual fracture type. The question of how to perform adequate fixation depends on the different fracture types, the general health and compliance of the patient, and the timing of the operation. While one fracture can adequately be fixed with one miniplate only, another fracture may have to be stabilized with a reconstruction plate in order to be adequately fixed.In addition to these factors, the choice of fixation depends on the experience and judgement of the surgeon. When in doubt, it is always safer to select a stronger plate and screw or go for a double plate fixation instead of a single plate fixation. Failures are almost always due to a misjudgement of the surgeon and not to the hardware. It is of utmost importance to recognize and understand failures in order to provide for a safe and quick repair.

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Author information

Authors and Affiliations

  1. Professor emeritus of Maxillofacial Surgery Director emeritus of University Clinic for Maxilofacial Surgery, 79106, Freiburg i.B., Germany

    Wilfried Schilli M.D., D.M.D.

  2. Ass. Professor of Maxillofacial Surgery University Clinic for Maxillofacial Surgery, 79106, Freiburg i.B., Germany

    Peter Stoll M.D., D.M.D.

  3. Ass. Professor of Maxillofacial Surgery University Clinic for Maxillofacial Surgery, 79106, Freiburg i.B., Germany

    Wolfgang Bähr M.D., D.M.D.

  4. Professor of Maxillofacial Surgery Chairman of Clinic for Reconstructive Surgery Unit for Maxillofacial Surgery University Clinics of Basel, Kantonsspital, 4031 Basel, Switzerland

    Joachim Prein M.D., D.M.D.

Authors
  1. Wilfried Schilli M.D., D.M.D.
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  2. Peter Stoll M.D., D.M.D.
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  3. Wolfgang Bähr M.D., D.M.D.
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  4. Joachim Prein M.D., D.M.D.
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Editor information

Editors and Affiliations

  1. University Clinics of Basel, 4031, Basel, Switzerland

    Joachim Prein (Professor of Maxillofacial Surgery Chairman of Clinic for Reconstructive Surgery Unit for Maxillofacial Surgery) (Professor of Maxillofacial Surgery Chairman of Clinic for Reconstructive Surgery Unit for Maxillofacial Surgery)

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© 1998 Springer-Verlag Berlin Heidelberg

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Schilli, W., Stoll, P., Bähr, W., Prein, J. (1998). Mandibular Fractures. In: Prein, J. (eds) Manual of Internal Fixation in the Cranio-Facial Skeleton. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-58789-4_3

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  • DOI: https://doi.org/10.1007/978-3-642-58789-4_3

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-63732-2

  • Online ISBN: 978-3-642-58789-4

  • eBook Packages: Springer Book Archive

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