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首页> 外文期刊>Craniomaxillofacial Trauma & Reconstruction >The Use of MMF Screws: Surgical Technique, Indications, Contraindications, and Common Problems in Review of the Literature
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The Use of MMF Screws: Surgical Technique, Indications, Contraindications, and Common Problems in Review of the Literature

机译:使用MMF螺钉:手术技术,适应症,禁忌症和文学审查中的常见问题

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摘要

Mandibulo-maxillary fixation (MMF) screws are inserted into the bony base of both jaws in the process of fracture realignment and immobilisation. The screw heads act as anchor points to fasten wire loops or rubber bands connecting the mandible to the maxilla. Traditional interdental chain-linked wiring or arch bar techniques provide the anchorage by attached cleats, hooks, or eyelets. In comparison to these tooth-borne appliances MMF screws facilitate and shorten the way to achieve intermaxillary fixation considerably. In addition, MMF screws help to reduce the hazards of glove perforation and wire stick injuries. On the downside, MMF screws are attributed with the risk of tooth root damage and a lack of versatility beyond the pure maintenance of occlusion such as stabilizing loose teeth or splinting fragments of the alveolar process. The surgical technique of MMF screws as well as the pros and cons of the clinical application are reviewed. The adequate screw placement to prevent serious tooth root injuries is still an issue to rethink and modify conceptual guidelines.
机译:Mangibulo-颌上固定( mmf)在断裂重新调整和固定过程中,螺钉插入两个钳口的骨基底座中。螺钉头充当锚点,以固定连接到颌骨的线环或橡皮筋。传统的齿间链连接布线或拱形杆技术通过附着的夹板,钩子或孔眼提供锚地。与这些牙齿传播的电器MMF螺钉相比,促进并缩短了实现跨多颌骨固定的方式。此外,MMF螺丝有助于减少手套穿孔和钢丝粘膜的危险。在下行,MMF螺钉归因于齿根损伤的风险和超出闭塞纯维持的缺乏性能,例如稳定松散的牙齿或肺泡工艺的夹持片段。综述了MMF螺钉的手术技术以及临床应用的优缺点。足够的螺杆放置以防止严重的齿根损伤仍然是重新思考和修改概念准则的问题。

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