Resident Manual of Trauma to the Face, Head and Neck

Chapter 5: Mandibular Trauma

Figure 5.10 Follow-up Panorex films of left angle fracture from Figure 5.9. (A) After MMF and wire osteosynthesis. (B) Postoperative check at 4 weeks, showing excellent healing and callus formation (white arrow).

3. CT Scan A CT scan is ideal when visualization is difficult, especially visualization of the condylar head and high condylar neck. CT is generally the preferred method of imaging for multiple mandibular fractures, and is especially helpful in the multiply traumatized patient requiring images of the cervical spine, cranium, and carotid arteries. Also, 3-D CT scanning capabilities add immeasurably to the diagnosis and treatment planning of complex facial fractures. 4. MRI Scan Magnetic resonance imaging (MRI) is better for evaluating soft-tissue disease, such as hematoma and complications of trauma. 5. Occlusal View An occlusal view will show symphysis fractures. 6. Periapical Radiographs Periapical radiographs show dental root fractures next to mandible and alveolar fractures.

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Resident Manual of Trauma to the Face, Head, and Neck