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ABSTRACT – MANAGEMENT OF EXTENSIVELY COMMINUTED MANDIBULAR FRACTURE – A CASE REPORT

ABSTRACT
Comminuted mandible fractures are generally the result of significant impact on a localized area of the oromandibular complex and are defined as multiple lines of fracture in one region of the mandible. Treatment modalities for management of comminuted mandibular fractures include closed reduction, external pin fixation, internal wire fixation and open reduction and internal fixation using miniplates, reconstruction plates, titanium mesh tray and screws. The following case report describes the open reduction and internal fixation of an extensive comminuted mandibular fracture in a 28-year-old male patient. CT findings revealed complete loss of integrity of mandibular bone in right body, angle and ramus region with fracture lines crossing each other. The patient underwent open reduction and internal fixation with a load bearing reconstruction plate, 3D mesh and a short period of maxillomandibular fixation.

Keywords : mandibular Fracture, Open reduction, internal fixation, 3D Titanium mesh