Brophy Dressing Forceps 200mm — Mandibular Reconstruction

Brophy Dressing Forceps — 200mm Mandibular Reconstruction

The 200mm Brophy is the mandibular-reconstruction working length — used in oral-and-maxillofacial procedures requiring access to the posterior mandible, the temporomandibular joint, and the floor of the mouth. Length 20cm reaches the angle of the mandible through a submandibular incision, the floor of the mouth through a transoral approach, and the maxillary tuberosity through an intraoral vestibular incision without the operator’s hand entering the surgical field.

The mandibular-fracture-repair indication

Mandibular fracture is the most common facial fracture (35-40% of all facial fractures) and the most common indication for the 200mm Brophy in modern oral-surgery practice. Open reduction and internal fixation (ORIF) of mandibular fractures uses titanium plates fixed with monocortical screws; the Brophy forceps handles the bony fragments during the reduction step and the periosteum during plate fixation. Twenty centimetres of reach lets the surgeon work at the mandibular angle from outside the mouth.

The orthognathic-surgery context

Le Fort I osteotomy and bilateral sagittal split osteotomy (BSSO) for orthognathic correction also use the 200mm Brophy — handling osteotomised bony segments during repositioning before plate-and-screw fixation.