Mandibular Fractures

Smith, Brian M.; Deshmukh, Atul M.; Barber, H. Dexter; Fonseca, Raymond J.

doi:10.1016/b978-1-4557-0554-2.00014-9

Cited by 7 publications

(12 citation statements)

References 182 publications

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“…1 Because of their location, submandibular gland fractures are rare and most often associ- continued from page 56 ated with mandibular or zygomatic bone fractures. 2,3 In the case discussed here, the blunt trauma to the neck resulted in an isolated fracture of the submandibular gland, with no complications of other glands or structures surrounding it.…”

Section: Discussionmentioning

confidence: 99%

“…Sialography studies examine the integrity of the ductal system and may be ordered to evaluate any ductal disruptions. 3,4 Surgical repair of lacerations to the ducts should be considered immediately because they have a high risk of developing complications such as a salivary fistula, sialoceles, and mucoceles.…”

Section: Discussionmentioning

confidence: 99%

“…Proper assessment of these injuries should include a complete head and neck examination for cutaneous, skeletal, dental, vascular, nervous, and salivary duct injuries to prevent further complications and morbidity. 3 Important cranial nerves to assess, based on their close proximity to the salivary glands, include the trigeminal nerve (cranial nerve V), the facial nerve (cranial nerve VII), and the hypoglossal nerve (cranial nerve XII). 3 Subsequent investigations to consider include sonography and a CT scan, as well as CT angiography of the neck to assess the integrity of vasculature within the region.…”

Section: Discussionmentioning

confidence: 99%

“…3 Important cranial nerves to assess, based on their close proximity to the salivary glands, include the trigeminal nerve (cranial nerve V), the facial nerve (cranial nerve VII), and the hypoglossal nerve (cranial nerve XII). 3 Subsequent investigations to consider include sonography and a CT scan, as well as CT angiography of the neck to assess the integrity of vasculature within the region. Lacerations of the salivary ducts usually result in the accumulation of saliva within the wound.…”

Section: Discussionmentioning

confidence: 99%

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A 6-Year-Old Female with Unilateral Cervical Swelling

Aggarwal¹,

Shaheen²

2015

Pediatr Ann

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Editor's note: Each month, this department features a discussion of an unusual diagnosis. A description and images are presented, followed by the diagnosis and an explanation of how the diagnosis was determined. As always, your comments are welcome via email at pedann@Healio.com. For diagnosis, see page 58Case Challenge A 6-year-old female was brought to the emergency department 6 hours after sustaining blunt trauma to the neck. She was playing outside her house when a small motorized bicycle fell on her neck. She was in mild discomfort immediately after the injury and developed significant swelling with tenderness over the following hours. She complained of pain upon swallowing and pain with movement of the neck. She had no significant medical history or prior trauma. Her vaccinations were current and no ill contacts were identified. Her growth and developmental milestones were all attained in normal stages.On physical exam, she was afebrile. No evidence of erythema or ecchymosis was seen. She exhibited left-sided cervical swelling that was warm to the touch and tender below the left submandibular angle (Figure 1). She demonstrated limited cervical range of motion. Kernig's and Brudzinski's signs were negative. Inspection of her oropharynx showed no lesions, erythema, exudates, or edema. On palpation, a 3.5-cm × 2-cm mass was found in the left submandibular region and a 1.5-cm × 1-cm posterior cervical lymph node was palpated.Her initial labs showed marked leukocytosis. Sonographic studies revealed an isoechoic mass in the left upper neck. Computed tomography angiography of the neck with contrast demonstrated no vascular injury. A computed tomography (CT) scan of the neck confirmed the absence of any bony fractures and revealed the diagnosis (Figures 2 and 3).

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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A 6-Year-Old Female with Unilateral Cervical Swelling

Aggarwal¹,

Shaheen²

2015

Pediatr Ann

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“…Bilateral mandibular fractures are common and may cause airway obstruction. 2 Several classifications of mandibular fractures using nonstandard terminology are available. One of these classifications is related to the anatomical site involved: symphysis, body, angle, branch, condylar process, coronoid process, and alveolar process.…”

mentioning

confidence: 99%

Airway Obstruction After Bilateral Mandibular Parasymphyseal Fracture: A Case Report

Aires

Ramos

Figueiredo

et al. 2020

Craniomaxillofacial Trauma & Reconstruction Open

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Bilateral mandibular parasymphyseal fractures may compromise airway maintenance. The aim of the present study is to report the case of a patient with bilateral parasymphyseal fracture who developed some degree of airway obstruction and required urgent surgical treatment. A 19-year-old female motorcycle accident victim presenting bilateral mandibular parasymphyseal fractures evolved with difficulty breathing, 5 hours after trauma. To improve the patient’s clinical condition, urgent surgical treatment 12 hours after the trauma was opted. The fractures were fixed with two 2.0-mm plate and screw systems at each fractured site. After surgery, the patient evolved with good oxygen saturation and no difficulty in breathing. Occlusion obtained during surgery remained satisfactory and stable over the 2-year postoperative follow-up. Emergency surgical treatment of the bilateral mandibular parasymphyseal fracture was imperative in the present case since the patient developed respiratory distress after the trauma.

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Fixation of Mandibular Fractures with Lag Screw: Integrative Review

Vitro,

Guimarães,

Machado

et al. 2023

Arq Med Hosp Fac Cienc Med Santa Casa São Paulo

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Introduction: The mandible is the only movable bone of the face and plays a crucial role in masticatory, swallowing, phonation, and aesthetic functions. Mandibular fractures have the potential to cause numerous important changes. Angle, parasymphysis, body and condyle are the anatomical regions most affected by trauma. Rigid Internal Fixation (RIF) facilitated the process of treatment and recovery of mandibular functions. The Lag Screw fixation technique is based on the use of screws that manage to compress the bone fragments without the use of plates.Objective: This integrative review aims to review the fixation of mandibular fractures using the Lag Screw technique.Methods: Through a complete search in PubMed, Web of Science, Embase, and Cochrane databases, nine articles that contemplated the method of fixation of mandibular fractures using the Lag Screw technique were included.Results: The studies showed that the technique was associated with a lower number of intra and postoperative complications, provided safe RIF, greater compression between the stumps, facilitating primary bone healing, and presented a shorter surgical time, economic advantage. On the other hand, the technique proved to be sensitive and limited only to specific cases.Conclusion: The application of the Lag Screw fixation technique is an effective and stable RIF method that can be performed in the treatment of mandibular fractures.

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Mandibular Fractures

Cited by 7 publications

References 182 publications

A 6-Year-Old Female with Unilateral Cervical Swelling

A 6-Year-Old Female with Unilateral Cervical Swelling

Airway Obstruction After Bilateral Mandibular Parasymphyseal Fracture: A Case Report

Fixation of Mandibular Fractures with Lag Screw: Integrative Review

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