Wednesday, July 7, 2010

Facial Fractures. Mandible Fractures


Mandible fractures or jaw fractures are a common occurrence. Fractures of the mandible are analogous to fractures of the pelvis in that fractures often occur in more than one location.

Depending on the textbooks that one reads, the frequency of occurrence of most mandible fractures is as follows: body (29%), condyle (26%), angle (25%), symphyses (17%), ramus (4%) and coronoid process (1%).

I prefer to treat most mandible fractures with open reduction and internal fixation with plates and screws as this affords the patient a more rapid return to jaw mobilization and can prevent stiffness at the temporomandibular joint.