DOI: 10.36347/sjds.2020.v07i03.003

Pages: 57-59

Mandibular parasymphysis fracture patients are largely managed by definitive surgical management and occasionally by conservative means. Oblique fractures management in the parasymphysis region is quite challenging with miniplate fixation as they are monocortical, and postoperative stability of fracture fragments is questionable, which warrants maxillomandibular fixation(MMF) postoperatively. Interfragmentary mobility plays an important role in bone healing, and MMF impedes early functional rehabilitation. Lag screws offer better stability and eliminate the need for MMF, but with some disadvantages like high compressive forces exerted by the head of the screw. Herbert screw, which is a headless screw, works on the lag principle which eliminates the disadvantage of the lag screw. We present an overview of Herbert Screw in the management of oblique fracture illustrated by a relevant case of trauma. A 28 year old male patient sustained injury in a road traffic accident reported to the Department of Maxillofacial surgery, diagnosed to have oblique mandibular parasymphysis fracture on clinical and radiological examination was successfully treated with. Herbert screw. Though it is a novel treatment technique, it requires methodical treatment planning and surgical proficiency.