Management of mandibular parasymphysis fracture: a case report

Authors

  • Desak P. K. Wedayanti Faculty of Medicine, Udayana University, Sanglah General Hospital, Denpasar, Bali, Indonesia, India
  • Gusti N. K. Dinatha Department of General Surgery, Udayana University, Sanglah General Hospital, Denpasar, Bali, Indonesia, India
  • Putu Gosen Partama Department of General Surgery, Tabanan General Hospital, Tabanan, Bali, Indonesia
  • Made Kurniawan Ardi Saputra Department of General Surgery, Tabanan General Hospital, Tabanan, Bali, Indonesia

DOI:

https://doi.org/10.18203/2349-3933.ijam20213249

Keywords:

Fracture, Parasymphysis, Mandibular

Abstract

Mandibular fractures are among the most common injuries to the facial skeleton. Mandibular parasymphysis fractures lead to the loss of occlusion with step deformity formation. Treatment of mandibular fractures aims to restore occlusion and function and facilitate direct bone healing by adequate reduction and immobilization on the fractured site. We report a mandibular parasymphysis fracture of 17 years old male patient due to the road traffic accidents. Patient reported severe jaw pain during movement and abundant intraoral bleeding was observed. A clinically computed tomography scan of the face with axial, coronal, and 3-D reconstruction was performed, which showed parasymphysis fracture. The following treatment done was the application Arch bar and open reduction internal fixation (ORIF) mini plate under general anesthesia. After access, mandibulomaxillary fixation was performed to ensure satisfactory occlusion after adequate fragment reduction. The fractures were properly fixed with 6 hole and 3 hole, screw 8mm for the left mandibular, and for the right mandibular used 5 hole and 3 hole, screw 8 mm. Mandibular fractures are the most common fractures of facial region and treatment options depend upon the type of fracture of mandible according to the anatomic variations. 

References

Elahi Noor A, Amin N, Mustari Shanta T, Asaduzzaman Mazumder M. Close Reduction of the Unilateral Angle Fracture of the Mandible: A Case Report. EC Dental Science. 2019;18(5):1021-6.

Aires CCG, Ramos LVS, de Figueiredo EL, de Bortoli MM, Vasconcellos RJDH. Airway Obstruction After Bilateral Mandibular ParasymphysisFracture: A Case Report. Craniomaxillofacial Trauma & Reconstruction Open. 2020;5:1-4.

Singh Soodan K, Priyadarshni P, Author C. Subcondylar and Parasymphysis Fracture and Its Management: A Case Report Case Report. Acta Scientific Dental Sciences. 2019;3(4):119-21.

Siauw C, Arumsari A, Syamsudin E, Fathurachman. Management of sinistra condyle fracture in emergency: case report. Journal of Dentomaxillofacial Science. 2018;3(3):184-7.

Elton Reis Ramos J, Maria Lopes Oliveira L de, Jara Souza A de, et al. Surgical Management Of Complex Mandibular Fracture: Case Report. Brazilian Journal of Surgery and Clinical Research. 2020;30(3):49-52.

Pickrell BB, Holier Junior LH. Evidence-based medicine: mandible fractures. Plast Reconstr Surg. 2017;140(1):192-200.

Whitfield PC, Thomas EO, Summers F, Whyte M, Hutchinson PJ. Head injury a multidisciplinary approach. Cambrige. Cambrige University Press. 2009;62-3.

Farber SJ, Snyder-Warwick AK, Skolnick GB. Maxillomandibular Fixation by Plastic Surgeons: Cost Analysis and Utilization of Resources. Ann Plast Surg. 2016;77(3):305-7.

Funk G. Facial Fracture Management Handbook - Mandible Fractures. Iowa Head and Neck Protocols. 2018. Available at: https://medicine.uiowa.edu/ iowaprotocols/facial-fracture-management-hand book-mandible-fractures. Accessed on 05 December 2020.

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Published

2021-08-21

Issue

Section

Case Reports