What's the Diagnosis? Case by Dr. Erica Schramm
Wed, 03/29/2017 - 8:00am
Answer: Mandibular fracture.....but did you see both? (see image below)
Mandibular Fractures:
- The second most common facial fracture (nasal bone fractures are the most common)
- 50% of patients have multiple mandibular fractures (often at the site of impact as well as the opposite side)
- The most common anatomic locations are the angle > the body > the parasymphysis
- Signs of mandibular fracture on exam: bony deformity or tenderness to palpation, malocclusion, dental line irregularities, dental trauma, sublingual ecchymosis or hematoma
- A thorough intra-oral exam is necessary to identify if the fracture is open or closed
- Displaced fractures, open fractures, or fractures associated with dental trauma require urgent OMFS consult
References:
1)Bailitz, John and Tarlan Hedayati. “Trauma to the Face.” Tintinalli’s Emergency Medicine a Comprehensive Study Guide, 8e. Eds, Judith E. Tintinalli, et al. New York, NY: McGraw-Hill, 2016.
2)Munter, David W. “Head and Facial Trauma.” The Atlas of Emergency Medicine, 4e. Eds. Kevin J. Knoop et al. New York, NY: McGraw-Hill, 2016.