Original Article

Mar 1

Volume 2024, 8 pages.

Evaluation of Intraoral Fixation versus Extraoral Fixation in Segmental Resection of Mandible - A Comparative Study

Manishaa V1

1. Consultant, Oral & Maxillofacial Surgeon, Chennai

Address for Correspondence:

Dr. Manishaa V

Consultant, Oral and Maxillofacial Surgeon,

Chennai

Email – manishaa.venkatesh@gmail.com

Abstract

Mandibular segmental resection for benign pathologies results in functional and aesthetic deficits requiring

reconstruction with titanium plates. Fixation can be achieved through intraoral or extraoral approaches, though

consensus on the superior technique remains unclear. To compare intraoral fixation using right-angled

instruments with conventional extraoral fixation of mandibular reconstruction plates. Twelve patients

undergoing segmental mandibular resection were randomly allocated into two groups: intraoral fixation (n=6)

and extraoral fixation (n=6). All reconstructions utilized a 2.5-mm titanium reconstruction plate. Postoperative

swelling, mandibular symmetry, and complications were evaluated at baseline, 2 weeks, 1 month, and 6

months. Statistical analysis was performed with significance set at p<0.05. Baseline parameters were

comparable. Extraoral fixation demonstrated significantly greater reduction in postoperative swelling and

superior mandibular symmetry (p<0.05). Complication rates were comparable between groups. Extraoral

fixation provides better postoperative swelling reduction and symmetry, while intraoral fixation oﬀers

comparable safety with the advantage of avoiding external scarring.

Keywords: Mandibular segmental resection, Reconstruction plate, Intraoral approach, Extraoral approach,

Mandibular reconstruction

Financial support and sponsorship

Nil

Conflicts of interest

There are no conflicts of interest.

How to Cite this article :

Manishaa V . Evaluation of Intraoral Fixation versus Extraoral Fixation in Segmental Resection of Mandible

- A Comparative Study Int J Cranio Maxillofac Surg Rehab Volume 2024; 3(1): 6-13. Doi: 10.56501/IntJCranioMaxillofacSurgRehabil.v3.il.ijcms0002

Review Article