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Evidence-Based Medicine: Mandible Fractures

Morrow, Brad T. M.D.; Samson, Thomas D. M.D.; Schubert, Warren M.D.; Mackay, Donald R. M.D.

Plastic and Reconstructive Surgery: December 2014 - Volume 134 - Issue 6 - p 1381–1390
doi: 10.1097/PRS.0000000000000717
MOC-CME: Original Articles
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Learning Objectives: After studying this article, the participant should be able to: 1. Describe the anatomy and subunits of the mandible. 2. Review the cause and epidemiology of mandible fractures. 3. Discuss the preoperative evaluation and diagnostic imaging. 4. Understand the principles and techniques of mandible fracture reduction and fixation.

Summary: The management of mandibular fractures has undergone significant improvement because of advancements in plating technology, imaging, and instrumentation. As the techniques in management continue to evolve, it is imperative for the practicing physician to remain up-to-date with the growing body of scientific literature. The objective of this Maintenance of Certification article is to present a review of the literature so that the physician may make treatment recommendation based on the best evidence available. Pediatric fractures have been excluded from this article.

Supplemental Digital Content is available in the text.

Hershey, Pa.; and St. Paul, Minn.

From the Division of Plastic Surgery, Penn State Hershey College of Medicine and the Milton S. Hershey Medical Center; and the Department of Plastic and Hand Surgery, Regions Hospital.

Received for publication April 1, 2014; accepted June 12, 2014.

Disclosure: The authors have no financial interest in any of the products or devices mentioned in this article.

Supplemental digital content is available for this article. Direct URL citations appear in the text; simply type the URL address into any Web browser to access this content. Clickable links to the material are provided in the HTML text of this article on the Journal’s Web site (www.PRSJournal.com).

Donald R. Mackay, M.D., Division of Plastic Surgery, Penn State Hershey College of Medicine, Milton S. Hershey Medical Center, 500 University Drive, Hershey, Pa. 17033, dmackay@psu.edu

©2014American Society of Plastic Surgeons