Journal of Maxillofacial and Oral Surgery

, Volume 17, Issue 4, pp 632–633 | Cite as

Intraoperative Manipulation of Bony Segments: An Innovative Method

  • Neelam N. AndradeEmail author
  • Smriti S. Choradia
  • Neha Aggarwal
  • Paul C. Mathai
Technical Note



Various methods are deployed by an oral and maxillofacial surgeon to control the osteotomised/ fractured bony segments intraoperatively till the time a stable fixation in the desired position is achieved. Few of these include the use of bone holding crocodile forceps, towel clips, reduction forceps, wires, digital control (Thota and Mitchell in Br J Orthod 26(4):325, 1999). In our technique, we present the use of an IMF screw to manipulate bony segments intraoperatively.

Materials and Methods

We used this novel technique in a series of 12 patients. An IMF screw was fixed in the greatest bulk of the bony fragment so as to control it and hold it in the desired position in various surgical procedures.


This technique was found to be minimally invasive and easy to perform to achieve a good hold and control of the bony segments.


IMF Screws Bony segments 


Compliance with Ethical Standards

Conflict of interest



  1. 1.
    Thota LG, Mitchell DA (1999) Cortical bone screws for maxillomandibular fixation in orthognathic surgery. Br J Orthod 26(4):325PubMedCrossRefGoogle Scholar
  2. 2.
    Roccia F, Tavolaccini A, Dell’Acqua A, Fasolis M (2005) An audit of mandibular fractures treated by intermaxillary fixation using intraoral cortical bone screws. J Craniomaxillofac Surg 33(4):251–254PubMedCrossRefGoogle Scholar

Copyright information

© The Association of Oral and Maxillofacial Surgeons of India 2018

Authors and Affiliations

  • Neelam N. Andrade
    • 1
    Email author
  • Smriti S. Choradia
    • 1
  • Neha Aggarwal
    • 1
  • Paul C. Mathai
    • 1
  1. 1.Nair Hospital Dental CollegeMumbaiIndia

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