Management of fractures of the mandibular body and symphysis

Oral Maxillofac Surg Clin North Am. 2013 Nov;25(4):601-16. doi: 10.1016/j.coms.2013.07.002. Epub 2013 Sep 7.

Abstract

Mandibular fracture, specifically in the symphysis and body regions combined, is the most common facial fracture requiring hospitalization in North America. The primary treatment objective is to restore form and function by achieving anatomic reduction and placing fixation that eliminates mobility of the bone fragments. Several treatment options and surgical techniques are available for performing closed or open reduction. Special considerations are necessary when treating pediatric patients and fractures of the edentulous mandible. Complications relating to the tooth and denture-bearing regions of the mandible include infection, nonunion, and neurosensory changes.

Keywords: Body; Complications; Fixation; Fracture; Mandible; Symphysis; Trauma.

Publication types

  • Review

MeSH terms

  • Biomechanical Phenomena
  • Fracture Fixation, Internal / methods*
  • Humans
  • Internal Fixators
  • Mandibular Fractures / classification
  • Mandibular Fractures / diagnosis
  • Mandibular Fractures / physiopathology
  • Mandibular Fractures / surgery*
  • Physical Examination
  • Postoperative Complications / etiology
  • Tomography, X-Ray Computed / methods