

CASE REPORTS - INFECTION/TRAUMA Year : 2014 | Volume : 4 | Issue : 1 | Page : 115-118

Total avulsion of mandible in maxillofacial trauma



Deepak Passi1, Hari Ram2, Geeta Singh2, Laxman Malkunje2

1 Department of Oral and Maxillofacial Surgery, Vyas Dental College and Hospital, Jodhpur, Rajasthan, India

2 Department of Oral and Maxillofacial Surgery, Faculty of Dental Sciences, King George's Medical University, Lucknow, Uttar Pradesh, India



Date of Web Publication 23-May-2014

Correspondence Address:

Deepak Passi

A-122/5A, Shalimar Garden, Extension 2, Sahibabad, Ghaziabad - 201 005, Uttar Pradesh

India

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DOI: 10.4103/2231-0746.133083 PMID: 24987613

Abstract

Mandibular trauma are a frequent injury of maxillofacial skeleton due to the mandible's prominence and relative lack of support. Maxillofacial injuries can be complex and can involve the skin and soft-tissues as well as bones resulting in fractures. Although, several cases of severe crush injury of the lower jaw have already been presented but total avulsion of mandible has rarely been reported. As with any facial fracture, consideration must be given for the need of emergency treatment to secure the airway or to obtain hemostasis if necessary before initiating definitive treatment. We presents a case report of completely avulsed mandible along with soft-tissue of midface region in pediatric patient following trauma, which was attempted to manage or repaired by successful microvascular surgical technique. Unfortunately, we lost the patient in next postoperative day due to cardiac complication. Avulsion of the lower jaw may further complicate the obstructive nature of the upper airway. Multi-specialty involvement in their management may be needed for management of such type of avulsion injury.

Keywords: Airway obstruction, difficult airway, difficult intubation, mandibular avulsion, microvascular anastomosis

How to cite this article:

Passi D, Ram H, Singh G, Malkunje L. Total avulsion of mandible in maxillofacial trauma. Ann Maxillofac Surg 2014;4:115-8

How to cite this URL:

Passi D, Ram H, Singh G, Malkunje L. Total avulsion of mandible in maxillofacial trauma. Ann Maxillofac Surg [serial online] 2014 [cited 2020 Sep 22];4:115-8. Available from: http://www.amsjournal.com/text.asp?2014/4/1/115/133083

Introduction

Case report

Figure 1: Front profile preoperatively



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Figure 2: Lateral profile preoperatively



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Figure 3: Avulsed mandible along with attached skin in front view



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Figure 4: Avulsed mandible along with attached skin from superior view



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Figure 5: Avulsed mandible along with attached skin from inferior view



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Figure 6: Patient tracheostomized and intubated



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Figure 7: Intraoperative view of microvascular anastomosis



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Figure 8: Immediate postoperative after closure of skin



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Discussion

Conclusion

References

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