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There are different sizes of plate available to fix metacarpal fractures (1.5-mm screws and titanium mini plates, 2.0-mm screws and stainless-steel AO mini plates, and 2.7-mm screws and stainless-steel AO mini plates).
In the literature, several studies have reported satisfactory results for unstable metacarpal and phalangeal fractures fixed with AO mini plates and screws [11, 12, 27, 38, 39, 40, 41, 42, 43, 44, 45, 46, 47].
In the following pages, we report the decompression of an extensive mandibular keratocystic odontogenic tumor using mini plates and 16G spinal needles.
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A small number of prospective studies have been published on treatment of unstable metacarpal and phalangeal fractures using miniature plate (mini plate) and screws [11, 13, 14].
The segmented bone fragments were shifted using the wafer, which was made before operation, and then they were fixed using the mini plate and screws.
Other standard methods for osteosynthesis of mandibular SSRO are the triangular placement of bicortical screws [32,33] or the use of two mini-plates and monocortical screws.
The application allowed the placement of any number of different types of TADs (mini-screws, palatal implants, onplants, mini-plates and other TADs) on each view (occlusal view of the upper arch, left buccal and right buccal view).
In the present study, satisfactory decompression results, including reduction of mouth irritation, control of oral hygiene, reduction of lesion size, and long-term maintenance of the device, were achieved with a decompressor using the 16G spinal needle and mini plates without rubber tubes.
Rigid and stable fixation with mini plates allowed early mobilization, which prevented stiffness and achieved good functional result.
Final enucleation and removal of the mini plates were performed 15 months after surgery.
Where sufficient sound bone is lacking, applying two mini plates can be much more difficult than one, and proceeding with two can incur decompressor instability.
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