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Mandibular fracture, also known as fracture of the jaw, is a break through the mandibular bone. In about 60% of cases the break occurs in two places. [ 1 ] It may result in a decreased ability to fully open the mouth. [ 1 ]
The condyloid process or condylar process is the process on the human and other mammalian species' mandibles that ends in a condyle, the mandibular condyle.It is thicker than the coronoid process of the mandible and consists of two portions: the condyle and the constricted portion which supports it, the neck.
In jawed vertebrates, the mandible (from the Latin mandibula, 'for chewing'), lower jaw, or jawbone is a bone that makes up the lower – and typically more mobile – component of the mouth (the upper jaw being known as the maxilla). The jawbone is the skull's only movable, posable bone, sharing joints with the cranium's temporal bones.
When the lower jaw is pushed anteriorly as far as possible with some teeth in contact, it is said to be maximum protrusion. In Posselt's border movement diagram, maximum protrusion is the most anterior based on the sagittal view. Condyles are in the most anterior position and determined partly by stylomandibular ligaments. [8]
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
However, coronoid process fractures are very rare. [1] Isolated fractures of the coronoid process caused by direct trauma are rare, as it is anatomically protected by the complex zygomatic arch/ temporo-zygomatic bone and their associated muscles. Most fractures here are caused by strokes (contusion or penetrating injuries). [2]
The wiring may be configured to immobilise the jaw in the case of fracture or surgery or to place the patient’s lower jaw in a semi-closed resting position. This permits a moderate amount of jaw movement and relatively clear speech, but inhibits the ingestion of solid foods, forcing patients to adhere to a liquid diet .
Commonly injured facial bones include the nasal bone (the nose), the maxilla (the bone that forms the upper jaw), and the mandible (the lower jaw). The mandible may be fractured at its symphysis, body, angle, ramus, and condyle. [4] The zygoma (cheekbone) and the frontal bone (forehead) are other sites for fractures. [13]