Abstract
T hree dimensional computed tomography of 35 year old male patient due to road traffic accident. Clinical examination revealed restricted mouth opening of one finger breadth, oedema, subconjunctival haemorrhage, deviation of mandible during mouth opening and deranged occlusion. Bilateral condylar fractures observed along with fracture of mandible pertaining to symphysis and parasymphysis regions. Computed tomography axial section (Panel B and Panel G) depicts multiple fractures in relation to symphysis and parasymphyseal region extending up to the midpoint of left body of mandible and bilateral medial poles of mandibular condyle. Coronal sections (Panel A) revealed fracture of medial pole of the condylar head bilaterally and left parasymphyseal region. Three dimensional coronal sections (Panel C) revealed comminuted fracture in relation to maxillary alveolus involving left maxillary central and lateral incisor and fracture of left and right parasymphyseal regions. Three dimensional left and right lateral views (Panel D and Panel E) depicted respective parasymphyseal fractures of the mandible. Three dimensional axial views (Panel F) depicted fractured medial poles of right and left mandibular condyle and lingual extension of fracture from mandibular symphysis to the midpoint of body of the mandible. Treatment plan included open reduction and internal fixation. The post operative period was uneventful (Figures 1-5).
Citation
Shunmugavelu K and Subramaniam K. Bilateral Fracture of Medial Poles of Condyle and Fracture of Symphysis, Bilateral Parasymphysis of Mandible due to Road Traffic Accident. SM J Dent. 2018; 4(1): 1019s.