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Twelve cases of mandibular fracture were treated, applying monocortical osteosynthesis with Champy's miniature screwed plate by intraoral method. The operative technique was easy, and in the case of single fracture, the operation was possible under local anesthesia with minor tranquilizer application. The advantages were as follows: I. Intraoral approach to the mandibular fixation was possible due to the rational flexible miniaturized materials. 2. Reduction of the period of inter-maxillary fixation compared with conservative treatment. In our experience, complications such as postoperative infection, wound debiscens, malunion, etc., were not found except in one case which had shattered bone fragments. This method can be applied to various types of mandibular fractures, but it may be technically difficult in the case of premolar region or shatter fracture. It was considered that this method was effective for the treatment of mandibular fractures although there is a certain limitation to the application of the method.
社団法人日本口腔外科学会の論文