Presentation
Punched in face.
Patient Data
Age: Adult
Gender: Male
From the case:
Mandibular fracture
{"current_user":null,"step_through_annotations":true,"access":{"can_edit":false,"can_download":true,"can_toggle_annotations":true,"can_feature":false,"can_examine_pipeline_reports":false,"can_pin":false},"extraPropsURL":"/studies/32768/annotated_viewer_json?lang=us"}
Displace right body, left angle of mandible fracture. On the right the fracture extends through the first premolar.
From the case:
Mandibular fracture
{"current_user":null,"step_through_annotations":true,"access":{"can_edit":false,"can_download":true,"can_toggle_annotations":true,"can_feature":false,"can_examine_pipeline_reports":false,"can_pin":false},"extraPropsURL":"/studies/32769/annotated_viewer_json?lang=us"}
Following ORIF and extraction of the broken tooth.
Case Discussion
A complete bony ring, like the one formed by the mandible and base of skull, behaves like a crisp pretzel: it is not possible to break it in only one place. Either you break it in two places, like this case, or you dislocate one side and break the other.