Cranial Maxillofac Trauma Reconstruction
DOI: 10.1055/s-0037-1603453
Original Article
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Comparative Evaluation of the Embrasure Wire versus Arch Bar Maxillomandibular Fixation in the Management of Mandibular Fractures: Are Arch Bars Replaceable?

Sanjay Rastogi1, Tousif Ahmed1, Kolli Giri1, Ramakant Dandriyal1, Niranjana Prasad Indra B1, Ankur Joshi1, Shouvik Choudhury1, Sunil Mall2
  • 1Department of Oral and Maxillofacial Surgery and Oral Implantology, Kothiwal Dental College and Research Center, Moradabad, Uttar Pradesh, India
  • 2Department of Oral and Maxillofacial Surgery, Institute of Dental Sciences, Bareilly, Uttar Pradesh, India
Further Information

Publication History

15 January 2017

14 March 2017

Publication Date:
08 June 2017 (eFirst)

Abstract

The aim of this prospective study was to appraise the role of embrasure wiring in the treatment of mandibular fractures over the arch bar as adjunctive techniques of maxillomandibular fixation (MMF). This study was conducted on 40 patients who were surgically treated for mandibular fractures with accessory use of MMF (embrasure: group A vs. arch bars: group B). All patients were evaluated for demographic data, etiology, and location of fracture. Characteristically, the complications, including wire injury, infection, and malocclusion, were recorded. The data were analyzed using Student's t-test and chi-square test as appropriate. Statistical significance was set at p < 0.05). In this study, data from 40 patients were included. In group A (embrasure wiring), time required for placement of MMF was significantly less than (7.85 ± 0.81 minutes) that in group B, and also there was less incidence of wire prick to the operator in group A than in group B (p < 0.05). However, in terms of wire prick and malocclusion, no statistically significant difference was noted in groups A and B (p > 0.05). Patient treated with embrasure wiring intermaxillary fixation had better outcomes especially in terms of time of placement and less incidence of wire prick injury when compared with arch bar.

Clinical Significance

Compared with arch bars, using embrasure wires for intraoperative MMF may decrease operating room time and health care costs while potentially minimizing the risk of disease transmission.