Maxillomandibul

ar Fixation
The Jaw-Dropping Experience
of a Lifetime

Our Team
From left to right
Emily Maslonkowski (BSAC)
Ashley Phillips (Co-Team Leader)
Nina Lewis (Co-Team Leader)
Sara Karle (BWIG)
Joe Ferris (Communications)

Client
Jeremy
Plastic

Warner, MD
Surgery, UW Medical School

Advisor
William

Murphy

Assistant

Professor, Department of
Biomedical Engineering

Outline
Background

Information
Problem Statement
Motivation
Our Clients Requirements
Designs for Project
Decision Matrix
Goals for Project
Questions

Background
Information

Mandible is the second most fractured

bone of the face
Common causes of fractured
mandibles

1.
2.
3.
4.

Assault
Motor vehicle accidents
Falls
Sporting accidents

3 steps in fixing a mandible: realign

bones, fixation, and rehabilitation

Problem Statement
Design
Fixate

a device which will:

the top of the mouth to the jaw

Be easier and faster to apply
Maintain an adequate cost of application
Be safe for the 4-6 weeks of healing

Motivation for Project

Surgeons

throughout history have

dealt with broken mandibles in many
ways
Maxillomandibular fixation is
outdated
requires

wiring the mouth shut with the

use of arch bars and wires

Must

be a better way!

Our Clients
Requirements
Cost

effective
Light weight
Dynamic
Emergency
release

No

forces on
front teeth
Time Effective
Safe

Design #1: External

Stabilization
Place

support on head

Tighten

straps securely

Design #1: Materials

and Costs
Jaw

brace

Estimated Price$70

Design #1: Evaluation

Pros

Cons

Easy

Aesthetics

application
Cost effective
Quick release
No anesthesia

Discomfort
Small

chance
of sliding off

Design # 2: Screws
and Magnets
Figure 3

Magnets attached to
screws
Drill screws into jaw
Figure 2

Figure 1

Use magnetic force

to hold jaw together

Design #2: Materials

and
Costs

4 Titanium Cortical Screws

4 AlNiCo Magnets
Centre Drive Hexagonal Screwdriver (onetime cost)

Estimated Cost...$103.36-$110.56 per

application

Design #2: Evaluation

Pros

Cons

Re-usable

No

materials
(screws)
Quick
Application
Durable

emergency
release
Not aesthetically
pleasing
Requires
anesthesia

Design #3: Braces

Figure 1
Apply

Figure 2

brackets
Connect lateral
brackets with elastic
Connect vertical brackets
with rubber bands

Design #3: Materials

and Costs
16

(stainless steel) brackets

16 elastics (power chain)
adhesive
8 rubber bands

Estimated Cost$400 per application

Design #3: Evaluation

Pros

Quick release
Short
application time
(approx. 15-20
minutes)
No anesthesia
necessary
Aesthetically
pleasing

Cons
Expensive

Decision Matrix
Design 1:
External

Design 2:
Design 3:
Screws/Magne Braces
ts

Application Time

Cost

Quick Release

Aesthetics

Comfort

Durability

Local Anesthesia

24

17

29

Total
Scale: 1-5, 1=poor, 5=good

Goals for the Rest of

the Semester
Find

muscle forces in jaw

Test design on model skull
Find exact price of braces design

References

Goldman, Kim E. "Mandible Fractures." Ask An Oral & Maxillofacial

Surgeon. 2005. 8 Sept. 2005
<http://www.calweb.com/~goldman/mandible_fractures.html>.
"Muscles of Mastication: Form dictates function; Function follows
form."
Nociceptive Trigeminal Inhibition - Tension Suppression
System. 15
Sept. 2005 <http://www.nti-tss.com/slide1.htm>.
Peltier, Jacques, comp. Mandible Fractures. 26 May 2004. UTMB
Dept. of
Otolaryngology. 11 Sept. 2005
<http://www.utmb.edu/otoref/Grnds/Mandible-fx-040526/Mandiblefx- 040526.htm>.
Prater, Michael E., comp. Mandibular Fractures. 27 Nov. 1996. UTMB
Dept. of Otolaryngology. 20 Sept. 2005
<http://www.utmb.edu/otoref/Grnds/Mandibular-fx961127/Mandibular-fx-961127.htm>.
Stierman, Karen, and Byron J. Bailey. "Mandible Fractures." 14 June
2000.
10 Sept. 2005
<http://www.utmb.edu/otoref/Grnds/Mandible-fx0006/Mandible-fx-0006.pdf>.

ANY
QUESTIONS?