The Minne Skinny August 2024
- Invisian Medical
- Aug 30, 2024
- 3 min read
Patient Case Report
Tufts Medical Center
A 57-year-old female presented to her local emergency department in Rhode Island after a fall where a CT scan revealed a closed fracture of the right mandibular ramus. A local surgeon evaluated the patient and recommended a closed reduction with maxillomandibular fixation (MMF) using traditional Erich arch bars. By means of researching on the Internet, the patient became aware of the Minne Ties® Agile MMF dental occlusion ties as an alternative treatment option and subsequently emailed a representative at the company who facilitated the connection with the Dr. Elie E. Rebeiz Department of Otolaryngology – Head and Neck Surgery team at Tufts Medical Center in Boston, Massachusetts to consider this technique.
Figure 1 (Left)- Intraoperative manual manipulation of the mandible to achieve a closed reduction of the fracture.
Figure 2 (Right)- Eight Minne Ties were applied to achieve MMF.
After establishing a connection with the team at Tufts Medical Center, the patient was carefully evaluated in person. There was evidence of malocclusion with early contact of the right maxillary and mandibular molars with a resulting left-sided open bite deformity. She had no associated dental injuries with excellent dentition at baseline. Review of the maxillofacial CT scan confirmed an isolated right-sided minimally displaced, non-comminuted mandibular ramus fracture. After discussing the treatment options and associated risks, the patient wished to proceed with the Minne Ties Agile MMF technique.
The closed reduction was achieved in the operating room with the patient under general anesthesia. A lip retractor was placed and Class 1 occlusion was achieved with manual manipulation of the mandible (Figure 1). A total of eight Minne Ties were applied (Figure 2) and tightened proceeding from distal to mesial, alternating between left and right. The MMF was noted to be strong and secure.
Figure 3 - The Minne Ties were cut flush with the clasps prior to completion of the procedure.
The Ties were cut flush with the Minne Ties clasps with a number 15 blade (Figure 3). During the MMF treatment course, the patient described the Minne Ties to be comfortable without significant irritation of her buccal mucosa. The eight Minne Ties were removed without discomfort using a wire cutter in an outpatient clinic setting without local anesthesia. Three months following completion of MMF, the patient reported that her occlusion was subjectively at baseline. Objectively, there was evidence of Class 1 occlusion with symmetric molar contact (Figure 4).
Figure 4 - Three months post-operatively, the occlusion was Class 1 with symmetric molar contact.
As is demonstrated in this clinical case example, there is a demand for alternative approaches to the standard MMF treatment with wires and Erich arch bars. The patient treated by the team at Tufts Medical Center discovered the possibility of MMF using Minne Ties through information available on the Internet and ultimately was motivated to travel a further distance for treatment with this novel technique. In select patients with good dentition, the Minne Ties Agile MMF product facilitates simple application to achieve MMF, is typically comfortable for patients and atraumatic to remove at the conclusion of the treatment course.
AAOMS 2024
Invisian Medical will be exhibiting at The 2024 AAOMS Annual Meeting. Come see us from September 12-14 at booth 1412, directly across from the Stryker exhibit. We'll have new information to share with you. We hope to see you all in Orlando!
Important Update:
MT-1000 Packaging Reconfiguration
In the next few months, we will implement a configuration change to the MT-1000 12-pack Kit. Currently, the Kit includes eight Standard (green) size (1.0 mm) Ties and four Supplemental Thin (striped) size (0.7 mm) Ties.
The updated configuration of the MT-1000 Kit will consist of ten Standard size (1.0 mm) Ties and two Supplemental Thin size (0.7 mm) Ties. This change was driven by the feedback we received from surgeons who use Minne Ties and reflects our commitment to continual improvement.
This change was made possible by the reduced diameter of the rigid introducer on the Standard size Minne Tie, which allows it to be used more broadly, including in tighter embrasures. Please note that this is a configuration update only; there will be no change in pricing.
We always recommend using the larger, Standard 1.0mm size whenever possible, as it helps minimize the chance of "flossing out," where the Ties can pull through interproximal contact points.
Thank you for your continued trust in Minne Ties and Invisian Medical.
As with most surgical procedures, there are risks associated with maxillomandibular fixation (MMF), including with Minne Ties. For complete information regarding indications for use, additional application and removal instructions, risks, contraindications, warnings, precautions and adverse events, please review the device’s Instructions for Use (IFU) included in the package and at www.minneties.com.
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