Mandible Fractures: Consensus and Controversy | Journal CME Article-Journal CME Article: Mandible Fractures: Consensus and Controversy (Video 3 of 3)

Journal CME Article: Mandible Fractures: Consensus and Controversy (Video 3 of 3)

Video Transcription

Video Summary

This video demonstrates an extraoral approach to mandibular fracture repair after a gunshot wound. A Risdon incision is made below the mandible to avoid the marginal mandibular nerve and conceal scarring. Facial vessels are ligated, and subperiosteal dissection exposes fracture sites. Loose bone and the bullet are removed. A pre-bent AO locking reconstruction plate is fixed with bicortical locking screws to stabilize the bone gap. Interdental wires secure maxillomandibular fixation, aligning occlusion precisely. Postoperative imaging shows good fracture reduction with a planned bone graft for the remaining gap, ensuring stable, nerve-sparing reconstruction.

Keywords

mandibular fracture repair

Risdon incision

AO locking reconstruction plate

maxillomandibular fixation

nerve-sparing surgery