Managing a grossly comminuted and infected mandibular fracture using mandibular reconstruction plate system

Abstract

Mandible fractures are one of the most common sites of maxillofacial injuries due to their anatomical location which makes its vulnerable to direct impacts. The main promoters of this kind of injury are assault, road traffic accidents, and gunshot injuries. The prevalence of comminuted mandibular fracture is 30%–50% when compared to other facial bones. It is often associated with the presence of multiple bones involving several lines of fracture, resulting in small fragments within the same area. This often leads to functional and esthetic problems. Management of comminuted mandibular fractures includes various modalities such as closed reduction, external pin fixation, wire osteosynthesis, and open reduction and internal fixation (ORIF) using miniplates, reconstruction plates, titanium mesh tray, and bone grafts. The objective of this case report is to highlight a 31-year-old male patient with comminuted mandibular fracture treated with ORIF using a 2.7 mm reconstruction plate, followed by a short period of maxillomandibular fixation