Mandibular fracture

Case contributed by Frank Gaillard
Diagnosis certain

Presentation

Punched in face.

Patient Data

Age: Adult
Gender: Male
x-ray

Displace right body, left angle of mandible fracture. On the right the fracture extends through the first premolar. 

x-ray

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. 

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