wire fixation osteosynthesis for the emergency treatment of patients with mandible fractures: a report of three cases

Introduction: Currently, titanium plates and screws are the gold standard osteosynthesis treatment of facial bone fractures. Techniques considerer obsoletes like surgical wires osteosynthesis are not used anymore, but it is necessary to bear in mind the possibility of using wire for the treatment of cases in emergency, and in which we do not have immediately available sterile implants such as plates and screws. Objectives: Describe the mandibular osteosynthesis with surgical wire as an acceptable surgical treatment when plates and screws are not avaliable. Description: Three cases of patients with mandible fractures were presented, treated on emergency with wire. Two cases were the gunshot injuries and the remaining one suffered a recreational accident. Which required immediate treatment due to the magnitude of the damage, bone exposure and persistence of active bleeding. Conclusions: The use of surgical wire for the treatment of mandibular fractures should not be ignored and is a good alternative for situations where titanium plates and screws are not available due to economic reasons or access. The surgical outcome is stable and allows restoring partially mandibular anatomy and function looking forward a future reconstruction.