Bifid mandibular canal ­an anesthetic challenge for maxillofacial surgeons­ case report

Bifid mandibular canal is a variation of the normal anatomy. such anomalies can result in difficult anesthesia while performing surgeries of the posterior mandible under local anesthesia. moreover there is a high chance of damaging the neurovascular bundle leading to complications. here we present a case of a bifid mandibular canal which posed difficulty in achieving appropriate anesthesia. the inferior alveolar nerve is of special interest for maxillofacial and oral surgeons. its relation with mandibular third molar plays an important role while performing disimpaction surgery, in cases of bilateral sagittal split osteotomy, prosthesis placement in resorbed ridges, mandibular trauma procedures, and may be traumatized by penetration of the implant drill.

A New Single Wire Technique for Intermaxillary Fixation – Easy Way Out

ntermaxillary fixation (IMF) plays an important role in the treatment of maxillofacial fracture. The most preferred way is upper and lower arch bar fixation or eyelet wiring and imf done by box wiring. Here we present a new type of imf technique, using 26 gauze stainless cut into 6cm length singe wire technique. It is a single, quick, economical, minimal invasive and easy technique without any arch bar or eyelet fixation. Indication for this kind of wiring is undisplaced or minimally displaced fractures, stabilization of fractures during open reduction and internal fixation, orthognathic surgery and in tumor resection surgeries.