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Case Studies | Surgery | Indonesia | Volume 12 Issue 2, February 2023
Treatment of Neglected Fracture of the Bilateral Mandibular Body and Left Condyle: A Case Report
Carel Vere Mahardo | Andrianus Sudarmono | Endang Sjamsudin [22] | Asri Arumsari [4]
Abstract: Introduction: Maxillofacial fractures are injuries that are often followed by head injuries. The severity of maxillofacial fractures varies, with some involving a single bone and others involving a complex of several bones, depending on the degree of impact force to the facial area. Late and inappropriate management of maxillofacial trauma can cause defects that cause aesthetic and functional disturbances. Purpose This case report describes the management and discusses a neglected fracture of the bilateral mandibular body and condyle. Case report: A 16 - year - old male patient came to the emergency room of RSUP Dr. Hasan Sadikin Bandung, complaining of his jaw being unable to close tightly due to a motor accident two months before. Physical examination reveals facial asymmetry and malocclusion. The lateral AP skull radiographic examination and CT scan results showed a fracture line image of the bilateral mandibular bone corpus and the left condyle. The diagnosis, in this case, is a neglected fracture of the bilateral mandibular body and left condyle. The patient had refracturing of the mandibular corpus fracture and open reduction intermaxillary fixation (ORIF) as the final treatment. Conclusion: Neglected fracture of the bilateral mandibular body and left condyle with refractory and open reduction intermaxillary fixation (ORIF) and continued with masticatory muscle physiotherapy will result in optimal masticatory function and good aesthetic appearance.
Keywords: Neglected fracture, Maxillofacial, mandibular body, condyle, erichbar
Edition: Volume 12 Issue 2, February 2023,
Pages: 1437 - 1441