Mandible Fractures

John J. Chi, Emily Konkus
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Abstract

Mandible fractures are often caused by blunt or penetrating trauma and are one of the most common facial fractures. It is critical to understand facial and mandibular anatomy to best evaluate, classify, and treat mandible fractures. The primary goal of treatment is to restore the jaw to the preinjury occlusion. This can be achieved through open reduction with internal fixation or closed reduction with maxillomandibular fixation (MMF) in conjunction with dietary changes and/or physiotherapy. The main risks and concerns in mandible fracture management are infection, malunion, airway compromise, pain, and temporomandibular joint (TMJ) dysfunction. This chapter will provide a brief overview of facial and mandibular anatomy as well as common treatment methods and surgical interventions.  This review contains 17 figures, 2 tables, and 43 references Key words: Mandibular fracture, maxillomandibular fixation, occlusion, malunion, closed reduction, open reduction, TMJ dysfunction
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下颌骨骨折
下颌骨骨折通常由钝性或穿透性创伤引起,是最常见的面部骨折之一。了解面部和下颌骨解剖结构是评估、分类和治疗下颌骨骨折的关键。治疗的主要目的是使颌骨恢复损伤前的咬合状态。这可以通过切开复位内固定或闭合复位内固定(MMF)结合饮食改变和/或物理治疗来实现。下颌骨骨折治疗的主要风险和关注点是感染、畸形愈合、气道损伤、疼痛和颞下颌关节(TMJ)功能障碍。本章将简要概述面部和下颌解剖,以及常见的治疗方法和手术干预。关键词:下颌骨骨折,上下颌关节固定,咬合,畸形愈合,闭合复位,开放复位,颞下颌关节功能障碍
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