Vertically Unstable Fractured Mandibular Segment with Attached Genial Tubercles as a Parameter for Difficulty During Intubation for General Anaesthesia

Abstract

Displacement of fractured mandible and resultant displacement of the genial musculature should be considered as a vital parameter for assessing difficulty during intubation.

Fractura mandibular con arrancamiento de apófisis geni. descripción de un caso infrecuente

“…En el caso de la fractura mandibular con arrancamiento de apófisis geni asociada a traumatismo facial, las fracturas mandibulares con frecuencia ocurren en el contexto de traumatismos faciales. Generalmente estas no suponen un riesgo vital, sin embargo algunos tipos de fracturas faciales, que son infrecuentes 3 , pueden llegar a provocar un compromiso de la vía aérea 30 , como es el caso del desplazamiento posterior de la cortical lingual mandibular a nivel de la sínfisis 30,31 , donde debido a la pérdida de continuidad ósea, la musculatura insertada tiene tendencia a desplazar inferior y posteriormente dicho segmento, y se pierde el soporte muscular que mantiene la lengua y el hioides en su posición anatómica 32 .…”

“…In the case of mandibular fracture with dislodging of the geniculate process associated with facial trauma, mandibular fractures frequently occur in the context of facial trauma, generally these do not pose a vital risk, however some types of facial fractures, which are infrequent 3 , can lead to compromised airways 30 , as in the case of posterior displacement of the mandibular lingual cortex at the level of the symphysis 30,31 , where due to the loss of bony continuity, the inserted musculature has a tendency to move inferiorly and posteriorly this segment, and the muscular support that maintains the tongue and hyoid in their anatomical position is lost 32 .…”

Teleassistance and teleconsultation using smartphones and its contribution in clinical progress of oral and maxillofacial surgery

“…They stressed that teledentistry could provide a more rational and precise approach to patient referral. [ 11 ]…”