Comminuted mandible fractures generally are the result of a significant impact on
a localized area of the oromandibular complex and are defined as multiple lines of
fracture in one region of the mandible. These complex cases require careful diagnostic
and radiographic workup, proper preoperative planning, and technically excellent execution
of fracture reduction and fixation. Treatment principles include restoration of proper
occlusion with maxillo-mandibular fixation, exposure and alignment of the fracture
segments, and ultimate fixation with a load-bearing locking reconstruction plate.
Properly executed rigid internal fixation is a great advance in the management of
comminuted mandibular fractures with reliable outcomes. The course of treatment is
also significantly shortened and leads to more rapid resumption of normal function.
Keywords
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© 2008 Elsevier Inc. Published by Elsevier Inc. All rights reserved.
