Abstract
A guardsman fracture is characterized by bilateral condylar fractures in combination with a parasymphyseal fracture and is usually seen in epileptics and elderly patients due to fall on the chin. The utility of plain radiographs in identification of guardsman fracture is limited. Computed tomography scan, including three-dimensional reconstruction, allows better visualization of the temporomandibular joint (TMJ) without superimposition of the bony structures as well as assessment of condylar fracture position, angulation, and any fractured dislocation of the condylar head. Early identification and appropriate evaluation of this condition by the emergency physicians and trauma surgeons is important to guide the maxillo-facial surgeons to determine the appropriate treatment modality and timing of surgery and to avoid subsequent complications from an injury to the TMJ complex.
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