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JOURNAL OF MAXILLOFACIAL TRAUMA
Rivista di Traumatologia Maxillofacciale
Official Journal of the International Society of Maxillofacial Trauma
Journal of Maxillofacial Trauma 2014 December;3(3):61-4
Role of Carroll Girard screw maneuvre in the management of displaced bilateral parasymphysis fracture. A case report
Goel M., Agrawal A., Kumar P., Rajiv T.
Department of Oral and Maxillofacial Surgery, PGIDS, University of Health Sciences, Rohtak, India
Mandibular fractures are common maxillofacial injuries. The treatment objective of mandibular fracture is to restore pre-morbid occlusion and masticatory function. The overall outcome depends on perfect reduction of displaced fracture segments.
A case of bilateral parasymphysis fracture was successfully managed by open reduction internal fixation following reduction using Carroll Girard screw.
In anterior mandibular region, the combined action of the supra-hyoid musculature on bilateral parasymphysis fracture can result in downward rotation of the distal segment. Reduction and fixation has been performed using bone clamps, towel clips etc. The Carroll-Girard screw is used for the reduction and fixation of depressed zygomatic fractures. This maneuvre may be used with closed or open reduction techniques.
In the maxillo-facial trauma, treatment protocols regarding plating methods and reduction maneuvre have changed a great deal. In the past, it was enough to establish a proper pre-injured occlusion form, now-a-days patients also stress on good esthetic with functional results.