A CASE REPORT Management of Multiple Fractures of the Maxilla and Mandible with Closed Reduction: A Case Report

Abstract

Introduction: Multiple fractures are a condition where there is a discontinuity of the facial bones that include mandible, maxilla, nasal, zygoma, palate, frontal and orbital. Treatment methods of multiple fractures are either a closed reduction or open reduction.

Objective: To explain the management of multiple fractures of the maxilla and mandible using closed reduction.

Case: A 23 years old male patient came to the Emergency Department after getting involve in motorcycle accident. Patient came with bleeding from the mouth, as a result of falling and hitting his face on the asphalt. Floating right segmental maxilla with palate fracture, mandible symphysis fracture and malocclusion were identified. Patient also complained of pain and swelling at the region of fracture and lip along with lacerated wound at nasolabial, palate, lower lip and gingival.

Case Management: The lacerated area is then sutured both intra and extra orally followed by the application of closed reduction in maxilla and mandible with intermolar and interdental wiring at upper and lower jaw. Follow up visit was plan ten-month post treatment. The closed reduction method successfully fixating the multiple fractures of the maxilla and mandible, resulting in stabilization and healing.

Conclusion: The management of multiple fractures of the maxilla and mandible by using closed reduction method revealed centric occlusion and stability of maxilla and mandible.

Keywords: Multiple Fractures, Maxilla, Mandible, Closed Reduction.