Supplemental Internal Wire Suspension in Orthognathic Surgery Fixation

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. 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 : teethnjaws@rediffmail.com Received 3 June, 2018 Accepted 10 July, 2018 The authors report no conflicts of interest. © 2018 by Mutaz B. Habal, MD.

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