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Fracture, Mandibular, Sports Medicine

Giselle Aerni, MD and David Cole, MD Reviewed 04/2019
 


BASICS

DESCRIPTION

  • Fracture of the mandible is usually due to a direct force.

  • The most common area fractured is the angle, followed by the condyle, molar, and mental regions.

  • Because of its thickness, th...

DIAGNOSIS

  • The first priority in evaluating a possible mandible fracture is to protect the airway. Severe fractures of facial structures may result in airway obstruction from lack of glossal supporting...

TREATMENT

GENERAL MEASURES

  • 20–40% of patients have associated injuries, and treatment should address the most lethal concerns from airway obstruction, aspiration, major hemorrhage, cervical spine or co...

ONGOING CARE

PATIENT EDUCATION

  • Smokers and patients with systemic medical conditions may have an increased incidence of complications, and it is important to maintain adherence to prescribed regimens.

  • A...

REFERENCES

1
Pickrell BB, Hollier LHJr. Evidence-based medicine: mandibular fractures. Plast Reconstr Surg.  2017;140(1):192e–200e.
2
Adalarasan S, Mohan A, Pasupathy S. Prophylactic antibiotics in ...

ADDITIONAL READING

  • Koshy JC, Feldman EM, Chike-Obi CJ, et al. Pearls of mandibular trauma management. Semin Plast Surg.  2010;24(4):357–374.

  • Miles BA, Potter JK, Ellis EIII. The efficacy of postop...

CLINICAL PEARLS

  • Consider a mandibular fracture for any athlete that has facial deformity, dysphagia, and mandibular pain after direct trauma to the face.

  • The first priority is to maintain the airway an...

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