Purpose: Treating comminuted mandibular fractures remains a challenge. In this study, we used
titanium mesh to treat comminuted mandibular fractures.
Materials and Methods: Nine patients with traumatically comminuted mandibular fractures who
received open reduction and internal stable fixation with titanium mesh were retrospectively reviewed.
Open reduction–internal stable fixation was performed 7 to 10 days after primary debridement of the facial
trauma. After the fractured mandible and the displaced fragments were reduced, the titanium mesh was
reshaped according to the morphology of the mandible, and the reduced bone fragments were fixed
with the reshaped titanium mesh and screws. Then, the surgical effects were evaluated during routine
follow-up.
Results: Most of the displaced fragments were reserved and exhibited a favorable shaping ability in
restoring the morphology of the mandible during surgery. Q3 No intraoperative complications were encountered. In addition, all patients were infection free, with no obvious resorption in the fixed fragments after
surgery. The mandible also exhibited favorable morphology and offered sufficient bone mass for dental
implantation or a denture prosthesis.
Conclusions: We conclude that titanium mesh shaping and fixation can effectively treat comminuted
mandibular fractures with little bone fragment loss, little soft tissue exposure, a low infection rate, and
favorable mandibular morphology.