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  <front>
    <journal-meta>
      <journal-title-group>
        <journal-title>Journal of Medical Insight</journal-title>
      </journal-title-group>
      <?Pub Caret -1?>
      <issn pub-type="epub">2373-6003</issn>
      <publisher>
        <publisher-name>JoMI</publisher-name>
        <publisher-loc>Boston, Massachusetts</publisher-loc>
      </publisher>
    </journal-meta>
    <article-meta>
      <article-id pub-id-type="publisher-id">414</article-id>
      <article-id pub-id-type="doi">10.24296/jomi/414</article-id>
      <article-categories>
        <subj-group>
          <subject>Research article</subject>
        </subj-group>
      </article-categories>
      <title-group>
        <article-title>Open Reduction and Internal Fixation of Mandibular Body and Parasymphyseal Fractures with Maxillomandibular Fixation and Broken Tooth Extraction</article-title>
      </title-group>
      <contrib-group>
        <contrib contrib-type="author">
          <name name-style="western">
            <surname>Yu</surname>
            <given-names id="2SHtY-o0G1F3Pf4">Cheryl Yu, MD</given-names>
          </name>
          <xref ref-type="aff" rid="aff-1"/>
        </contrib>
        <contrib contrib-type="author">
          <name name-style="western">
            <surname>Debs</surname>
            <given-names id="krdnuLIR-Rg1BHt">Sarah Debs, MD</given-names>
          </name>
          <xref ref-type="aff" rid="aff-1"/>
        </contrib>
        <contrib contrib-type="author">
          <name name-style="western">
            <surname>Kwak</surname>
            <given-names id="6xsP880J95ii8H9">Peter Kwak, MD</given-names>
          </name>
          <xref ref-type="aff" rid="aff-1"/>
        </contrib>
        <contrib contrib-type="author">
          <name name-style="western">
            <surname>Vahidi</surname>
            <given-names id="cLoulnJgoCua2SA">Nima Vahidi, MD</given-names>
          </name>
          <xref ref-type="aff" rid="aff-1"/>
        </contrib>
        <contrib contrib-type="author">
          <name name-style="western">
            <surname>Hawkins</surname>
            <given-names id="_mW1VuAV64TdcxB">Daniel Hawkins, DDS</given-names>
          </name>
          <xref ref-type="aff" rid="aff-1"/>
        </contrib>
        <contrib contrib-type="author">
          <name name-style="western">
            <surname>Lee</surname>
            <given-names id="c0KO6B58uSpa5Ay">Thomas Lee, MD, FACS</given-names>
          </name>
          <xref ref-type="aff" rid="aff-1"/>
        </contrib>
        <contrib contrib-type="author">
          <name name-style="western">
            <surname>Sheen</surname>
            <given-names id="OdeOEvEA7QvKALc">Derek Sheen</given-names>
          </name>
          <xref ref-type="aff" rid="aff-1"/>
        </contrib>
      </contrib-group>
      <aff id="aff-1">
        <label id=""/>
      </aff>
      <pub-date pub-type="ppub">
        <year>2024</year>
      </pub-date>
      <volume>2024</volume>
      <issue>05</issue>
      <permissions>
        <copyright-statement>2017 Journal of Medical Insight</copyright-statement>
        <copyright-year>2017</copyright-year>
        <license xlink:href="https://jomi.com/license">
          <license-p>
            You may create an account, or sign in to gain temporary access for evaluation purposes.
                    To maintain access: please let your librarian know you would like a subscription or send us an email at subscribe@jomi.com and we will forward your feedback to your librarian.
            <uri xlink:href="https://jomi.com/license"/>
          </license-p>
        </license>
      </permissions>
      <self-uri content-type="html" xlink:href="https://jomi.com/article/414/open-reduction-and-internal-fixation-of-mandibular-body-and-parasymphyseal-fractures-with-maxillomandibular-fixation-and-broken-tooth-extraction">Content is available at https://jomi.com/article/414/open-reduction-and-internal-fixation-of-mandibular-body-and-parasymphyseal-fractures-with-maxillomandibular-fixation-and-broken-tooth-extraction</self-uri>
      <abstract>
        <p>This is a case discussing a 21-year-old male who suffered from both non-comminuted mandibular parasymphyseal and body fractures as a result of a motor vehicle accident, requiring open reduction internal fixation (ORIF) without postoperative maxillomandibular fixation (MMF). The fracture was complicated by a broken tooth root, which required extraction. After intraoperative MMF, ORIF was performed. The parasymphyseal fracture was plated using two locking four-hole 2-mm thick miniplates utilizing two locking screws on either side of the fracture with one plate along the alveolar surface (monocortical screw) and one along the basal surface (bicortical screw). For the right body fracture, a three-dimensional locking ladder plate was used via a transbuccal trocar approach for additional exposure needed for proper screw placement. Once the hardware was secured, the patient was taken out of MMF and restoration of premorbid occlusion was confirmed. Lastly, watertight mucosal closure was performed using absorbable sutures and Dermabond (cyanoacrylate adhesive).</p>
      </abstract>
      <kwd-group>
        <kwd>ENT</kwd>
        <kwd>otolaryngology</kwd>
        <kwd>mandibular fracture</kwd>
        <kwd>parasymphyseal</kwd>
        <kwd>maxillomandibular fixation</kwd>
        <kwd>MMF</kwd>
        <kwd>ORIF</kwd>
        <kwd>reduction</kwd>
        <kwd>fracture</kwd>
        <kwd>trauma</kwd>
        <kwd>Mandible fracture</kwd>
        <kwd>parasymphysis</kwd>
        <kwd>symphysis</kwd>
        <kwd>body</kwd>
        <kwd>biomechanics</kwd>
        <kwd>torsional</kwd>
        <kwd>tension</kwd>
        <kwd>compression</kwd>
        <kwd>miniplate</kwd>
        <kwd>lag screw</kwd>
        <kwd>intermaxillary fixation</kwd>
        <kwd>IMF</kwd>
        <kwd>Open</kwd>
        <kwd>Internal Fixation</kwd>
        <kwd>Plate Fixation</kwd>
        <kwd>Adult</kwd>
        <kwd>Male</kwd>
        <kwd>Advanced</kwd>
        <kwd>CT Scan</kwd>
        <kwd>Fracture Reduction</kwd>
      </kwd-group>
    </article-meta>
  </front>
</article>