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Management of Mandible Fractures

Stacey, D Heath M.D.; Doyle, John F. D.D.S.; Mount, Delora L. M.D.; Snyder, Mary C. M.D.; Gutowski, Karol A. M.D.

Plastic and Reconstructive Surgery: March 2006 - Volume 117 - Issue 3 - p 48e-60e
doi: 10.1097/01.prs.0000209392.85221.0b

Learning Objectives: After studying this article, the participant should be able to: 1. Review the incidence and etiology of mandible fractures. 2. Discuss indications and techniques for closed and open treatment of mandible fractures. 3. Review complications of mandible fractures.

Background: Mandible fractures are among the most common types of facial fractures treated by plastic surgeons. They must be managed carefully to maintain the function of the mandible, reestablish proper occlusion, and minimize secondary complications.

Methods: Current methods of management include combinations of soft diet, intermaxillary fixation, open reduction with plate fixation, and, rarely, external fixation.

Results: Decision-making depends on the age of the patient, type of fracture identified, and concomitant medical conditions or injuries.

Conclusion: The authors review the diagnosis and current trends in management of mandible fractures.

Madison, Wis.

From the Division of Plastic and Reconstructive Surgery, Department of Surgery, University of Wisconsin Medical School.

Received for publication December 9, 2004; revised May 23, 2005.

D. Heath Stacey, M.D., University of Wisconsin, 3334 Bradbury Road, Madison, Wis. 53719,

©2006American Society of Plastic Surgeons