Bilateral mandibular fractures
Homeless patient. Attended ED following alleged assault 10 days previously. Swollen right face, generally tender.
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Complex, bilateral mandibular fractures. Right angle of mandible fractured and distracted. Left body fracture, less distracted. Both fractures extend to gum margin.
No significant facial bony injury.
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This delayed presentation was referred to the oral-maxillo-facial surgical unit.
The patient was given IV antibiotic therapy to cover the gross soft tissue swelling associated with the right mandibular angle fracture and had a delayed ORIF.