Cases reported "Mandibular Fractures"

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11/394. Management of a gunshot wound to the face resulting in a mandibular body fracture with burying of a bicuspid crown into the tongue.

    Gunshot wounds to the maxillofacial region are unpredictable and run the gamut from minor injuries to severe mutilating and life threatening injuries. This patient although unfortunate to have been the victim of mistaken identify resulting in the gunshot wound, was fortunate that the bullet hit his bicuspid, which probably served to deflect its path away from vital structures, thus saving his life. This accounts for the buried bicuspid crown found in the midline of the body of the tongue. Rigid internal fixation of maxillofacial fractures minimizes risks to the airway that may occur if patients are in post-operative maxillo-mandibular fixation during the post-anesthetic recovery phase. In addition, the use of rigid internal fixation speeds up the recovery and the patient's ability to return to function after surgery. Above, we presented an interesting case of a mandibular anterior body fracture resulting from a gunshot wound in the face and resulting in the burying of a bicuspid crown in the substance of the tongue, treated under general nasoendotracheal anesthesia and the use of rigid internal fixation (EDCP). ( info)

12/394. Unilateral comminuted and complicated fracture of the mandible due to dog attack.

    Fractures of the mandible and their management are discussed in detail in textbooks and articles dealing with facial trauma. This paper presents the management and treatment of a case of a unilateral comminuted and complicated fracture of the mandible due to dog attack on a geriatric patient. The attack also severed the patient's right arm. Due to the severity of the trauma, an emergency surgery was performed on the mandible and arm. ( info)

13/394. Chain saw injury of the mandibulofacial region.

    Use of chain saws is hazardous. Public understanding of the hazards and of modern types of chain saws will eventually help in preventing these injuries. An injury of the mandibulofacial region resulting from a chain saw has been described with special emphasis on preoperative, intraoperative, and postoperative management. ( info)

14/394. Dislocation of the condyle into the middle cranial fossa.

    Surgical intervention by a preauricular approach appears to be the preferred treatment in this rare injury. It does not appear necessary or wise to disimpact the condyle as it presents more of a surgical risk and its presence in the cranial fossa seems to pose no neurological problems. The use of an interposing medium, placed after the teeth are secured in occlusion, appears to be definitely indicated to prevent ankylosis and, hopefully, to eliminate deviation of the mandible. A carved piece of Silastic, designed to conform to the recontoured roof of the glenoid fossa, has produced excellent results in cases of ankylosis; it served well in this case. Silastic has the advantages of being easy to carve, it may be attached to the rim of the fossa, and it is extremely nonirritating; it eventually becomes encased in a fibrous capsule. ( info)

15/394. The natural course of an ossifying fibroma. A case report.

    A patient with an ossifying fibroma in the mandible is presented, with a follow-up period of 38 years. The pathological findings and recommendations for therapy are discussed. ( info)

16/394. Mandibular fracture resulting from dog bite: report of a case.

    The diagnosis and management of a fractured mandible of a 4-year old child has been presented. A brief review of the literature is given. The remarkable aspect of the case is its reported cause of dog bite. The patient was managed conservatively by closed reduction, and use of Oliver loops. The maxillomandibular fixation was lost on the 11th postoperative day. At that time, no mandibular deviation or limitation of movement was noted. Further immobilization was not deemed necessary. During a three-month follow-up period, no complications occurred. ( info)

17/394. Unilateral mandible fracture with bilateral TMJ dislocation.

    temporomandibular joint (TMJ) dislocation occurs when the condylar head slips forward causing the posterior articulating surface of the condyle to advance ahead of the articular eminence, possibly becoming entrapped. Following dislocation, the ligaments around the joint often stretch, causing severe muscle spasms and joint pain. There is no standard evaluation and treatment method for acute TMJ dislocation, but the most effective course is immediate reduction. This paper presents a 42-year-old woman who sustained a unilateral mandible fracture with bilateral TMJ dislocation in an automobile crash. Although the fracture was apparent on plane film and panorex, the dislocation was not found until six weeks later, when the jaw was unwired. At that time, the dislocation was suspected because of decreased range of motion, but was not verified until an MRI was performed. The result was long-term therapy, eventual bilateral TMJ surgery, and chronic TMJ pain for the patient. ( info)

18/394. Orthodontic treatment of malocclusions caused by facial trauma.

    Assessment and orthodontic treatment of malocclusions caused by traffic accidents were reported. Different methods were employed to reestablish the harmony of the occlusion with consequent good facial appearance. Appliances like the activator and direct bonding techniques were illustrated. Principles and techniques of orthodontics play an important role in the treatment of the malocclusions left untreated at the time of surgical operation for the facial trauma. ( info)

19/394. Tomographic evaluation of 100 patients with temporomandibular joint symptoms.

    In this study the temporomandibular joints of 100 patients were examined radiographically. While the results leave many unanswered questions, studies of this type do contribute to an increase in the knowledge of this complex structure. It is anticipated that polycycloidal tomography will provide even greater knowledge of the bony components of the TMJ. More accurate, objective radiographic evidence will unquestionably allow us to approach subjective clinical evidence with greater confidence in relating these factors to diagnosis. dentistry must recognize that the newer and more sophisticated methods must be utilized to evaluate pathologic changes or disease entities, such as temporomandibular joint dysfunction. A health profession must be provided with maximum information for total diagnosis. ( info)

20/394. Horner'sy syndrome and its significance in the management of head and neck trauma.

    The history, mechanism and aetiology of Horner'sy syndrome is presented and the pharmacology of the pupil is discussed. The case reported is a rare combination of Horner's syndrome in a patient who sustained bilateral fractures of the mandible and a chest injury. It is emphasised that the miotic changes in Horner's syndrome, in combination with head injuries can lead to confusion in diagnosis and the potential anaesthetic hazards and their influence on the management of the facial injury are outlined. ( info)
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