Abstract

I report 1,110 patients with lower-third facial injuries isolated from 1,608 patients with different types of facial injuries. Mixed injuries (bone and soft tissue) were most common (72%; n = 805). The most common site of fracture was the body of the mandible (26.12%; n = 290). One hundred sixty-three patients underwent soft-tissue and bony reconstruction with a local soft-tissue flap or an iliac bone graft, or both. Three procedures failed because of gingival tearing. Other treatments ranged from conservative treatment to different types of closed or open reduction. Postinjury and postsurgery complications were many and involved soft tissue, nerves, tongue, and bones. The follow-up period ranged from 3 months to 3 years.

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