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Facial Plast Surg 2019; 35(06): 627-632
DOI: 10.1055/s-0039-1700887
Original Article
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Secondary Management of Mandible Fractures

Likith Reddy
1   Department of Oral & Maxillofacial Surgery, Texas A&M University, College of Dentistry, Dallas, Texas
,
Daniel Lee
1   Department of Oral & Maxillofacial Surgery, Texas A&M University, College of Dentistry, Dallas, Texas
,
Aurora Vincent
2   Department of Otolaryngology - Head and Neck Surgery, Madigan Army Medical Center, Tacoma, Washington
,
Tom Shokri
3   Department of Otolaryngology, Penn State Health Milton S. Hershey Medical Center, Hershey, Pennsylvania
,
Mofiyinfolu Sokoya
4   Otolaryngology and Facial Plastic Surgery Associates, Fort Worth, Texas
,
Yadranko Ducic
4   Otolaryngology and Facial Plastic Surgery Associates, Fort Worth, Texas
› Author Affiliations
Further Information

Publication History

Publication Date:
29 November 2019 (online)

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Abstract

Mandibular fractures are the most common facial fractures that need surgical intervention. If untreated, these fractures affect a patient's occlusion, degree of mouth opening, and facial symmetry, and could cause infection with significant pain. The goal of any surgical intervention is to restore the preinjury occlusion, even if the preinjury occlusion is abnormal. Initial therapies, whether surgical or conservative, are not always successful, however, and revision or delayed surgical intervention can be challenging. Herein, we review common causes of failure of primary surgical management of mandibular fractures and provide tips to successful secondary intervention.

Keywords

complications - malocclusion - revision - Le Fort osteotomy - secondary repair
 

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