Abstract

Facial fractures make up a comparatively small proportion of Emergency Department visits, but of these injuries, the most common are nasal and mandible fractures. While the vast majority of nasal fractures can be managed without surgery, operative intervention for mandible fractures is relatively common due to the complexity of the structure’s anatomy and function.[1] Road traffic accidents were the most common cause of fracture with parasymphysis being commonest site. Commonest combination was parasymphysis with subcondyle. There was no gender bias in etiology with number of fracture sites.[2] Fracture parasymphysis (31.4%), body (24.5%), subcondyle (20.6%), and angle (13.7%) were the most common sites while fracture condyle (1%), coronoid (1.0%), dentoalveolar (1.0%), and ramus (1.0%) were the least common fracture sites.[2] In this article we present the case of a mandibular fracture caused by direct impact by an object with velocity and the pattern of impact on the structure of mandible and the principle of fixation used for this unusual presentation .

Description