LAUSR

Nowadays, open reduction and internal fixation (ORIF) is preferred technique for the management of most of the maxillofacial fractures. However, meticulous ORIF is not possible without achieving proper intraoperative maxillomandibular fixation (MMF). There are varieties of techniques highlighted in the literature for achieving intraoperative MMF, unfortunately, most of them requires use of wires or screws which are harmful to the patients as well as the surgeon since they are associated with a high risk of glove puncture and needlestick injury [1]. We recommend zip tie (Novoflex Marketing Pvt. Ltd. Kolkata, India) for intraoperative MMF to eliminate all the drawbacks of wires and screws (Fig. 1). The zip tie is a beltlike plastic self locking device which has a flexible tape sectionwith teeth which gets engaged with the pawl in the head to form a ratchet. Once the free end of the tape section is pulled through the head, the tie-wrap tightens and does not allow loosening (Fig. 2). It cannot be removed without cutting using a blade.