Mandible fracture

Case contributed by Daniel Hyeong Seok Kim
Diagnosis certain

Presentation

History of facial trauma and pain on the right side.

Patient Data

Age: 20 years
Gender: Male
x-ray

1. Acute, complete, linear, mildly serrated, oblique, minimally displaced essentially non-angulated fractures through the angle of the mandible on the right side. The fracture line extends into the last unerupted molar.

2. Possible mildly displaced fracture of the left zygomatic arch.

3. Visualized paranasal sinuses are clear. The nasal septum is in midline.

4. No other acute displaced or a healing fracture is evident.

5. The bone density is normal. 

Case Discussion

Mandible fractures are one of the most common cases of facial trauma. Inherently, the condyle area of the mandible is weak and often fracutures easily from a direct blow or force transmitted from another site. In addition, the body and the angle are also easily fractured sites of the mandible. After hemodynamic stabilization of the patient, treatment for mandible fractures commonly require surgical fixation.

 

This case was submitted with supervision and input from:
Soni C. Chawla, M.D.
Health Sciences Clinical Professor,
Department of Radiological Sciences,
David Geffen School of Medicine at UCLA.
Attending Radiologist,
Olive View - UCLA Medical Center.

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