What trends are apparent in mandible fracture management and outcomes in patients treated with and without intraoperative arch bar use, and how do they correlate with outcomes?
Background: Erich arch bars are effective tools in achieving accurate reduction and premorbid occlusion in the surgical treatment of mandible fractures; however, it is often desirable to avoid arch bar placement in appropriately selected cases, and accurate reduction and segment stabilization must still be obtained. Manual reduction of fractured segments often provides sufficient fracture segment stabilization for open reduction internal fixation (ORIF).
Explore this issue:March 2016
Study design: Retrospective chart review of 734 patients (1,312 mandible fractures) sustained between Oct. 1, 2001, and Oct. 1, 2011.
Setting: Upstate Medical University, Department of Otolaryngology and Communication Sciences, Syracuse, New York.