Drtbalu’s otolaryngology online Mal-united Mandible fracture- a case report and literature review

Mandible fracture is usually treated primarily with miniplates, lag screws or Kirschner’s wire with or without maxilla mandibular fixa-tion (MMF). The timing of surgical treatment is determined by multitude of factors includ-ing neurological and general condition of the patient. A delay in treatment at times may cause com-plications like non-union and malunion with occlusal abnormalities and disturbance in temporomandibular joint function. Here we are presenting a case of Mandible fracture that went into malunion due to delay in treat-ment. The malunited fracture was successful-ly repaired with a good occlusion. Case Report: A 22 year old lady presented to our hospital, a tertiary care centre, with the malunited man-dibular fracture due to a road traffic accident two months back. The accident occurred due to skid and fall of a two wheeler, which she was riding as pillion with her husband. Her husband lost his life in the accident while the lady suffered a multiple injuries which included a right clavicle fracture, left parasymphyseal man-dible fracture and concussion injury. She was managed at another hospital in the initial phase where the intervention for the jaw fracture was delayed due to unstable neurological status. She developed a malunion of the fracture as shown in the figure 1. At this point she present-ed to us. Drtbalu’s Otolaryngology online Neurosurgical clearance was obtained and the or-thopaedic opinion was sought, who advised for conservative management of the right clavicle fracture. The patient was investigated thoroughly with Computed tomography scan of the skull and blood analysis and was planned for Open reduc-tion and internal fixation under GA with nasal intu-bation after obtaining anesthetist’s clearance