[Maxillo-basal injury causing a bicondylo-angular fracture and carotid-cavernous fistula]. / Traumatisme maxillo-basal entraînant fracture bicondylo-goniaque et fistule carotido-caverneuse.

The authors present the case of a patient who suffered a violent maxillo-facial trauma. She suffered four mandibular fractures. During the postoperative course there was the development of very marked exophthalmos of of the right eye which was due to a carotido-cavernous fistula. The case has a double interest:--stomatological, osteosynthesis of the angular fractures being achieved by miniaturised screw-plates which ensured a solid mandible and facilitated postoperative intensive care;--neuro-ophthalmological, since the carotido-cavernous fistula closed spontaneously after arteriography during which intermittent compression was applied to the internal carotid.

[Miniaturized plate and screws in mandibular fractures : results in 22 cases (author's transl)]. / Plaques miniaturisées vissées dans les fractures mandibulaires. Notre expérience.

The authors describe the results of their use of miniaturized plates and screws in mandibular fractures. For the last 25 months they have used this osteosynthetic technique by the endobuccal approach with monocortical fixation of the plates in all displaced mandibular fractures requiring surgical reduction. No post-operative blocking has occurred. The technique was used in 22 patients with 27 osteosyntheses of the fracture focus : 34 plates were applied. Several technical points are emphasized, especially inter-maxillary blocking, and a critical analysis made of the material used, the method of osteosynthesis applied, and the results obtained. These were good but involve only a small number of cases treated by the same surgeon. The method appears to be effective, difficult but feasible, and one which is of incomparable comfort for the patient.