Mandibular fracture

Case contributed by Mr Andrew Murphy

Presentation

Punched in the mouth

Patient Data

Age: 25 years
Gender: Male
X-ray

PA mandible

Right parasympheal mandibular fracture that is comminuted, that extends to the angle surface.
Displaced fracture of the left mandibular angle, extending to the surface between 38 and 37.

X-ray

OPG

Right parasympheal mandibular fracture that is comminuted, that extends to the angle surface.
Displaced fracture of the left mandibular angle, extending to the surface between 38 and 37.

CT

CT

There is a comminuted fracture of the mandible that is involving the right parasympheal area and the left angle. There is a vertical component of this fracture that extends into the space between the 41 and 42 teeth.
The mental foramen is involved with the lateral portion of the fracture.
The left mandibular fracture is displaced laterally and anteriorly. The horizontal component of the fracture extends through the 37th molar socket.

Case Discussion

Fractures of the mandible as a result of assault are relatively common (50% of all mandibular fractures) contrary to popular belief fractures of the mandible that are uni-focal in nature account for almost 40% of cases.

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Case information

rID: 54433
Case created: 10th Jul 2017
Last edited: 13th Jul 2017
System: Trauma
Inclusion in quiz mode: Included

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