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Semin Plast Surg 2010; 24(4): 357-374
DOI: 10.1055/s-0030-1269765
© Thieme Medical Publishers

Pearls of Mandibular Trauma Management

John C. Koshy1 , Evan M. Feldman1 , Chuma J. Chike-Obi1 , Jamal M. Bullocks1
  • 1Division of Plastic Surgery, Baylor College of Medicine, Houston, Texas
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Publication History

Publication Date:
29 December 2010 (online)

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ABSTRACT

Mandibular trauma is a common problem seen by plastic surgeons. When fractures occur, they have the ability to affect the patient's occlusion significantly, cause infection, and lead to considerable pain. Interventions to prevent these sequelae require either closed or open forms of reduction and fixation. Physicians determining how to manage these injuries should take into consideration the nature of the injury, background information regarding the patient's health, and the patient's comorbidities. Whereas general principles guide the management of the majority of injuries, special consideration must be paid to the edentulous patient, complex and comminuted fractures, and pediatric patients. These topics are discussed in this article, with a special emphasis on pearls of mandibular trauma management.

KEYWORDS

Mandible - occlusion - plating - closed reduction - IMF - MMF - lag screws - facial trauma - maxillofacial

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Jamal M BullocksM.D. 

Assistant Professor, Division of Plastic Surgery

Baylor College of Medicine, 1709 Dryden, Suite 1500, Houston, TX 77030

Email: bullocks@bcm.edu

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