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Mandible fracture causes vary by the time period and the region studied. In North America, blunt force trauma (a punch) is the leading cause of mandible fracture [37] whereas in India, motor vehicle collisions are now a leading cause. [38] On battle grounds, it is more likely to be high velocity injuries (bullets and shrapnel). [39]
Facial trauma can involve soft tissue injuries such as burns, lacerations and bruises, or fractures of the facial bones such as nasal fractures and fractures of the jaw, as well as trauma such as eye injuries. Symptoms are specific to the type of injury; for example, fractures may involve pain, swelling, loss of function, or changes in the ...
When zygoma fractures occur, the most typical symptoms are paresthesias in the upper lip, nose, cheek, and lower eyelid, diplopia, and pain.Particular physical characteristics that support zygomatic fracture include globe injury, impaired ocular motility, globe malposition, orbital emphysema, trismus, palpable stepoffs at the inferior or upper lateral edge of the orbit, reduced feeling ...
3D CT of mandible fracture. This injury involves the alveolar bone and may extend beyond the alveolus. [5] [6] There are five different types of alveolar fractures: Communicated fracture of the socket wall; Fracture of the socket wall; Dentoalveolar fracture (segmental) Fracture of the maxilla: Le Fort fracture, zygomatic fracture, orbital blowout
A jaw abnormality is a disorder in the formation, shape and/or size of the jaw. In general abnormalities arise within the jaw when there is a disturbance or fault in the fusion of the mandibular processes. The mandible in particular has the most differential typical growth anomalies than any other bone in the human skeleton.
The Le Fort III fracture (transverse fracture) occurs at the level of the skull base, resulting in complete craniofacial separation of the midface from the base of the skull. [ 2 ] [ 3 ] The fracture line extends through the zygomatic arch , the pterygoid plates , the lateral and medial orbital walls , the nasal bones , and the nasal septum .
Lateral movements – Medial and lateral pterygoid (the ipsilateral temporalis and the pterygoid muscles of the contralateral side pull the mandible to the ipsilateral side). [ 36 ] Each lateral pterygoid muscle is composed of 2 heads, the upper or superior head and the lower or inferior head.
Fractures with displacement require surgery consisting of fracture reduction with miniplates, microplates and screws. Gillie's approach is used for depressed zygomatic fractures. [5] The prognosis of tripod fractures is generally good. In some cases there may be persistent post-surgical facial asymmetry, which can require further treatment. [6]