MANAGEMENT OF ORIF IN PATIENTS WITH MAXILLOFACIAL FRACTURES

Abstract

Introduction: A strong enough impact can cause fractures in the facial area. The most common cause of facial bone fractures is traffic accidents in two-wheeled motor vehicles. Most jaw and facial fractures occur in young men aged 16–40 years. Case Report: A 19-year-old male patient came to Dr. Kariadi Semarang Hospital, complaining of a choking bite when opening and closing the mouth after a single traffic accident. Extraoral examination showed facial asymmetry, subconjunctival bleeding dextra sinistra, palpable step off infra orbital region dextrasinistra, maxillary dextrasinistra, frontonasalis, mandibular symphysis region, and floating palpation  of the maxilla. Intraoral examination showed a 1-finger mouth opening,  an anterior bite open, vulnus laceratum anterior mandibular region of teeth 31-41 and superimposed segments  of maxillary sinistra teeth 22-23. Open Reduction and Internal Fixation (ORIF) has  been carried out with miniplates and screws as well as the installation  of Interdental Fixation (IDW) and Intermaxillary Fixation (IMF) Discussion: The main principles of fracture management are infection control, fracture fragment reduction, fixation, and immobilization. Reductions must be made to restore function and aesthetics. The occlusion should be used as a guide, so that when occlusion is achieved, the mastication function also functions properly. ORIF is the gold standard in fracture management. Conclusion: Maxillofacial fractures can be caused by various traumas, they can occur alone or at the same time as other fractures. ORIF followed by IDW and IMF insertion may be a comprehensive treatment option in maxillofacial fractures to restore good bone occlusion, aesthetics, and fixation function.