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Supplemental Internal Wire Suspension in Orthognathic Surgery Fixation

Harikrishnan, Pandurangan, MDS, FDSRCS (Eng)*; Madivanan, Ilangovan, MDS

Journal of Craniofacial Surgery: March/April 2019 - Volume 30 - Issue 2 - p e97
doi: 10.1097/SCS.0000000000004919
Brief Clinical Studies

Internal wire suspensions were previously used in the management of maxillary trauma and orthognathic surgery, but currently the gold standard is rigid internal fixation with bone plates and screws. The authors report a case of bimaxillary osteotomy in a skeletal class III patient where a supplemental circum-zygomatic-mandibular suspension was done to stabilize the maxilla because of the instability after rigid internal fixation due to poor bone thickness.

*Teeth “N” Jaws Center, Lake Area, Nungambakkam

Nandhine Dental Center, Chennai, India.

Address correspondence and reprint requests to Dr Pandurangan Harikrishnan, MDS, FDSRCS (Eng), FCrfOrth (Taiwan), Consultant Orthodontist and Oral Surgeon, Teeth “N” Jaws Center, 23 and 25, 1st Cross Street, Lake Area, Nungambakkam, Chennai 600034, Tamilnadu, India; E-mail :

Received 3 June, 2018

Accepted 10 July, 2018

The authors report no conflicts of interest.

© 2019 by Mutaz B. Habal, MD.