Management of a Mandibular Fracture Accompanying a Gunshot Wound

Abstract

Gunshot injuries of the mandible can result in high rates of complications, especially in cases of bone loss. A fractured mandible accompanying a gunshot wound almost always has an external wound; the fracture is always compound and comminuted. Sometimes management of these injuries may require multiple surgical interventions. In this clinical report, treatment of a patient, who had a mandibular fracture due to a gunshot wound, is presented.A 52-year-old man with a mandibular fracture in the right mandibular body accompanying a gunshot wound was operated on. Owing to a nonunion, a second surgery was performed using reconstruction plates after hyperbaric oxygen treatment. Healing was uneventful after the second surgical intervention.

The vulnerability of lingual plate of the mesioangular impacted mandibular third molars: a measurement on CBCT images

“…In this study, mean values of LP thickness surrounding the most lingual root were considerably 'thin' (0.89 mm), according to Toltsunov L.'s suggestion 11 . The measured bone thickness was comparable of reported values from other studies which are ranging from 0.65 to 1.25 mm [9][10][11] . Additionally, the result revealed that among three examined positions, the most lingual position was noted at apical third which is in line with the result of Emes et al 9 .…”

“…The measured bone thickness was comparable of reported values from other studies which are ranging from 0.65 to 1.25 mm [9][10][11] . Additionally, the result revealed that among three examined positions, the most lingual position was noted at apical third which is in line with the result of Emes et al 9 . In other words, the morphology of LP surrounding MTM in Vietnamese population is similar to other ethnics and bone thickness is considerably thin.…”

“…The two most important factors which were frequently assumed as the cause of LP fracture were lack of clinical skill of oral surgeon and anatomical defect of lingual cortical plate (LCP). Previous studies showed that the innate perforation of LCP is frequently observed up to one third of the cases [8][9][10][11] . Hence, it is important to assess the morphology of LCP and LP in prevention of complications related to these critical anatomical structures.…”

Multidetector CT of Mandibular Fractures, Reductions, and Complications: A Clinically Relevant Primer for the Radiologist

“…They are uncommon and typically seen in the setting of comminuted or multiple fractures (69,83). Osteomyelitis and nonunion (in the mandible, more than 8 weeks of delayed healing [84]) often occur together and account for most cases of complications. These inflammatory complications are greatly influenced by patient factors, including drug and alcohol abuse, noncompliance, poor dental hygiene, systemic disease including diabetes and human immunodeficiency virus, and advanced age (5,28).…”

“…It is important to establish the CT features of postoperative inflammatory complications, regardless of whether the complication is major or minor. Irregular resorbed bone with mottled or rounded sclerotic fracture edges (84), loose screws, sequestration of devitalized comminuted fragments, persistent fracture line, and/or step-off strongly suggests the presence of osteomyelitis (43,83) (Fig 25). During repeat surgery, the placement of reconstruction plate screws or external fixation pins within 10 mm of infected bone should be avoided because of the decreased mineral content near the bone ends (43).…”