Management of mandible fractures.

D Heath Stacey, John F Doyle, Delora L Mount, Mary C Snyder, Karol A Gutowski

Journal: Plastic and reconstructive surgery 2006;117(3):48e-60e

PMID: 16525255

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Abstract

LEARNING OBJECTIVES

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.

BACKGROUND

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.

METHODS

Current methods of management include combinations of soft diet, intermaxillary fixation, open reduction with plate fixation, and, rarely, external fixation.

RESULTS

Decision-making depends on the age of the patient, type of fracture identified, and concomitant medical conditions or injuries.

CONCLUSION

The authors review the diagnosis and current trends in management of mandible fractures.

Address: Division of Plastic and Reconstructive Surgery, Department of Surgery, University of Wisconsin Medical School, Madison, Wisconsin, USA. [email protected]

DOI: 10.1097/01.prs.0000209392.85221.0b

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MeSH Terms: Adult, Algorithms, Bone Plates, Bone Screws, Child, Fracture Fixation, Internal, Fractures, Comminuted, Humans, Mandible, Mandibular Fractures, Tomography, X-Ray Computed