Management of mandible fractures

Plastic and Reconstructive Surgery
D Heath StaceyKarol A Gutowski

Abstract

After studying this article, the participant should be able to: 1. Review the incidence and etiology of mandible fractures. 2. Discuss indications and techniques for closed and open treatment of mandible fractures. 3. Review complications of mandible fractures. Mandible fractures are among the most common types of facial fractures treated by plastic surgeons. They must be managed carefully to maintain the function of the mandible, reestablish proper occlusion, and minimize secondary complications. Current methods of management include combinations of soft diet, intermaxillary fixation, open reduction with plate fixation, and, rarely, external fixation. Decision-making depends on the age of the patient, type of fracture identified, and concomitant medical conditions or injuries. The authors review the diagnosis and current trends in management of mandible fractures.

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