scholarly journals A Complex Facial Trauma Case with Multiple Mandibular Fractures and Dentoalveolar Injuries

2015 ◽  
Vol 2015 ◽  
pp. 1-6
Author(s):  
Yeliz Guven ◽  
Sevgi Zorlu ◽  
Abdulkadir Burak Cankaya ◽  
Oya Aktoren ◽  
Koray Gencay

The principles of management of mandibular fractures differ in children when compared to adults and depend on the specific age-related status of the growing mandible and the developing dentition. This paper presents a case report with a complex facial trauma affecting the mandibular body and condyle region and dentoalveolar complex. Clinical examination revealed soft tissue injuries, limited mouth opening, lateral deviation of the mandible, an avulsed incisor, a subluxated incisor, and a fractured crown. CBCT examination revealed a nondisplaced fracture and an oblique greenstick fracture of the mandibular body and unilateral fracture of the condyle. Closed reduction technique was chosen to manage fractures of the mandible. Favorable healing outcomes on multiple fractures of the mandible throughout the 6-year follow-up period proved the success of the conservative treatment. This case report is important since it presents a variety of pathological sequelae to trauma within one case.

2020 ◽  
Vol 9 (10) ◽  
pp. e1879108030
Author(s):  
Luiz Henrique Soares Torres ◽  
Caio Pimenteira Uchoa ◽  
Mateus Barros Cavalcante ◽  
Virgílio Bernardino Ferraz Jardim ◽  
Éwerton Daniel Rocha Rodrigues ◽  
...  

Objective: to report a surgical case of comminuted mandible fracture caused by a firearm projectile treated with external fixation. Methodology: male patient, 18 years old, attended the Emergency Department of the Maxillofacial Surgery service after trauma in the mandibular region by a firearm projectile. On clinical examination, edema was observed in the cervical zone II and mandibular region, penetrating orifice of entry of the projectile in the genial region and mobility in the mandibular body. CT scan revealed a comminuted fracture in the mandible. Transcutaneous perforations were performed with pins, anatomical reduction of the fracture and stabilization to the external nail, adapting to the mandibular anatomy. Following postoperative follow-up, the patient progresses without pain complaints, with functional and satisfactory mouth opening, without mobility in bone fragments, and reestablished mandibular framework. Results and Conclusion: mandibular fractures by firearms are frequent in the routine of the buccomaxillofacial surgeon. Cases of bone comminution present individual peculiarities that must be taken into account in their management. The correct indication of external fixation proved to be adequate and satisfactory for cases of mandible comminution.


2010 ◽  
Vol 89 (12) ◽  
pp. E1-E3 ◽  
Author(s):  
Jon B. Chadwell ◽  
Joshua R. Mitchell ◽  
Michael Donnino ◽  
Charles Peterson ◽  
Paul Guentert ◽  
...  

2017 ◽  
Vol 2017 ◽  
pp. 1-5
Author(s):  
Maysa Nogueira de Barros Melo ◽  
Lidyane Nunes Pantoja ◽  
Sara Juliana de Abreu de Vasconcellos ◽  
Viviane Almeida Sarmento ◽  
Christiano Sampaio Queiroz

This paper describes a case of mouth opening limitation, secondary to a facial trauma by cutting-piercing instrument, whose fragments had not been diagnosed in the immediate posttrauma care. Description of an unusual surgical maneuver and a literature review are presented.


2018 ◽  
Vol 34 (5) ◽  
pp. 378-381
Author(s):  
Leonardo Santos Antunes ◽  
Ariane Ferraz Corrêa Torres ◽  
Gustavo Ferreira ◽  
Roberto Prado ◽  
Neide Pena Coto ◽  
...  

2002 ◽  
Vol 26 (1) ◽  
pp. 40-43 ◽  
Author(s):  
Rafael M. Nagler ◽  
Mica Peled ◽  
Dov Laufer

2020 ◽  
Vol 77 (6) ◽  
pp. 647-650
Author(s):  
Ivan Tusek ◽  
Miroslav Ilic ◽  
Jasmina Tusek ◽  
Stojan Ivic ◽  
Branislav Tusek

Introduction. Frequency of pediatric mandibular fractures is relatively uncommon. Apart from rare exceptions, there is minimal invasive access in the treatment of those injuries in order to avoid the future developmental disorders. Case report. During the game with a colt, a 6-year-old boy was kicked by hoof in the chin. The child did not lose consciousness and did not experience nausea or vomiting. According to clinical examination and radiological analysis, diagnosis was assigned as dislocated mandibular fracture in the parasymphysis part of the jaw and luxation injury of teeth 31 and 72. The surgical treatment under general anesthesia encompassed reduction and bimanual manipulation of bone fragments up to the optimal restoration of the dental occlusion, along with osteosynthesis with titanium miniplates. Luxated deciduous tooth 72 at the fracture line was extracted and luxated permanent tooth 31 was fixed to tooth 41 with wire. The patient was given antibiotic therapy. Additional immobilization of the luxated tooth 31 and mandibular fracture was performed after surgery by composite resin splint. During five-month follow-up period there were no signs of pathological movements in the fracture line, no luxation of tooth 31 and no restriction in mouth opening. Conclusion. Osteosynthesis with miniplates is adequate and very efficient treatment method in dislocated mandibular fracture that is recommended in children with both deciduous and mixed dentition. It is necessary to remove miniplates after fracture consolidation.


2015 ◽  
Vol 03 (01) ◽  
pp. 051-053
Author(s):  
Priyanka Dhawan ◽  
Taranjot Kaur ◽  
Sanjay Chachra ◽  
Kamaljeet Kaur

AbstractTrauma induced maxillofacial injuries may affect function as well as estheticsin children. In hospitalized paediatric trauma patients, mandibular fractures are the most common. Boys are affected twice than girls. In children, management of mandibular fractures differ somewhat from that in adults. The objective of treatment is to restore the underlying bony architecture in a stable and non invasive fashion to pre injury position. Closed reduction method is preferred in most paediatric cases. This case report demonstrates the use of fabricated acrylic splint in the stabilization and fixation of a mandibular body fracture in a 5 yr old patient.


2015 ◽  
Vol 12 (2) ◽  
pp. 56-59
Author(s):  
Muhammed Ziya KIR ◽  
Mehmet Sunay YAVUZ ◽  
Yıldıray ZEYFEOĞLU ◽  
Tarık ULUÇAY ◽  
Mine KALAY

1998 ◽  
Vol 19 (4) ◽  
pp. 248-251 ◽  
Author(s):  
Sanjay Mehta ◽  
Robert F. Ostrum

This is a case report of a 19-year-old woman who sustained multiple fractures including a right calcaneal fracture with extrusion of the posterior facet. The medial soft-tissue injury led to a full thickness skin loss. Despite loss of subtalar motion and decreased toe movement, she is satisfied with her result. The importance of the soft-tissue injuries, especially to the skin and tendons, associated with severely displaced calcaneal fracture dislocations is emphasized by this case report.


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