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Semin Plast Surg. 2010 Nov;24(4):357-74. doi: 10.1055/s-0030-1269765.

Pearls of mandibular trauma management.

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Division of Plastic Surgery, Baylor College of Medicine, Houston, Texas.


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.


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

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