Clinical application of Minne Ties® for intraoperative maxillomandibular fixation during temporomandibular joint replacement surgery

Abstract

Objective: To describe and evaluate the use of the Minne Ties® Agile MMF device as an alternative method of maxillomandibular fixation (MMF) in temporomandibular joint (TMJ) reconstruction surgery. Maxillomandibular fixation (MMF) is essential in oral and maxillofacial surgery, particularly in trauma, orthognathic surgery, and TMJ reconstruction. Traditional wire-based techniques, although effective, are associated with prolonged operative time, increased risk of needle-stick injuries, and gingival trauma. The Minne Ties® Agile MMF is an innovative suture-based device that allows rapid, safe, and minimally invasive intraoperative fixation, using a monofilament loop passed through the interdental spaces, without the use of wires or screws. Case report: We report a case of bilateral total TMJ replacement in which Minne Ties® was used for intraoperative MMF, detailing the preoperative evaluation, surgical work-flow, and postoperative outcomes. The device provided secure occlusal stabilization, reduced surgical complexity, and minimized tissue trauma. Conclusion: This case demonstrates the efficacy and safety of Minne Ties® as an alternative to conventional MMF methods, highlighting its usefulness in complex TMJ reconstruction procedures.