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Abstract Background: Maxillofacial fractures are common presentation in plastic surgery emergency department. Many techniques of maxillary mandibular fixation have evolved over the years. Orthodontic appliance technique as a reliable method for MMF has been introduced. Methods: This randomized prospective comparative clinical study was conducted on 20 patients complaining of multiple maxillo-facial fractures who were candidates for MMF with or without open reduction and internal fixation. The objective of the study is to demonstrate technical feasibility, overall outcomes and complications of the technique between two groups, in the period from October 2017 till March 2018 at in the emergency plastic surgery department in Kasr El-Ainy hospital. The sample population was divided randomly into two groups according to the type of the immobilization method used for MMF; the first group (group A) was managed by Erich Arch bars; the second group (group B) was managed by orthodontic appliance. The study was approved by the ethical committee of the plastic surgery department |