Management of Multiple Fractures of the Parasymphysis and Angle of the Mandible

Abstract

Introduction: Mandibular fracture is a fracture that often occurs in maxillofacial trauma. Fracture locations most often occur in the parasymphysis region and combined angle- parasymphysis fractures. Multiple mandibular fractures usually cause facial asymmetry and are challenging to reduce. Fracture treatment must be carried out immediately to restore function and aesthetics. This case report aims to discuss managing multiple mandibular fractures in the angulus and parasymphysis regions of the mandible.

Case report: A 13-year-old male patient came to the emergency room at Hasan Sadikin Hospital with bleeding from the mouth caused by a two-wheeled traffic accident. Clinical and radiographic examination results revealed a fracture of the right para symphysis and left mandibular angle. The procedure carried out is Open Reduction Internal Fixation (ORIF).

Discussion: Mandibular fractures often occur, and the leading cause is usually caused by driving accidents. Clinical examination and radiographs are needed so appropriate treatment can be carried out. In this case, treatment involves open reduction internal fixation (ORIF) extra and intra-oral approaches. Installation of 2 mini plates each in the symphysis region and angle of the mandible.

Conclusion: Treatment for multiple fractures that occurred in the maxillofacial area, in this case, was internal fixation with open reduction (ORIF). The results of the treatment showed facial symmetry and normal chewing function.

Keywords: Trauma, mandibular fracture, angulus, para symphysis, ORIF