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Open Reduction and Internal Fixation of Mandibular Body and Parasymphyseal Fractures with Maxillomandibular Fixation and Broken Tooth Extraction

Derek Sheen, MD1; Cheryl Yu, MD2; Sarah Debs, MD2; Peter Kwak, MD2; Nima Vahidi, MD3; Daniel Hawkins, DDS2; Thomas Lee, MD, FACS2
1University of Texas Southwestern Medical Center
2Virginia Commonwealth University Medical Center
3Upstate Medical Center

1. Introduction

2. Surgical Preparation and Approach

  1. Prep and Drape Patient
  2. Surgical Approach

3. Exposure of Fracture Sites

  1. Parasymphyseal Fracture
  2. Body Fracture

4. Remove Remaining Tooth Root with FG 702 Drill Bit

5. Maxillomandibular Fixation with IMF Screws to Restore Premorbid Occlusion

6. ORIF

  1. Parasymphyseal Fracture
  2. Body Fracture

7. Release Maxillomandibular Fixation

8. Final Inspection of Occlusion

9. Closure

  1. Suction Blood from Stomach with NG Tube

10. Post-op Remarks