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      Uncommon Presentation of a Symphyseal and Bilateral Mandibular Body Fracture From a Gunshot Injury: A Case Report and Literature Review

      case-report
      1 , 2 , , 2
      ,
      Cureus
      Cureus
      dental malocclusion, major trauma, mandibular fracture, mandibular reconstruction, oral reconstruction

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          Abstract

          Mandibular fractures are one of the most common types of facial fractures and often result from trauma to the head and neck region. Understanding the mechanism-based factors resulting in different patterns of mandibular injury is important for their surgical management. This study reports a unique mandibular fracture whereby the symphysis and bilateral mandibular bodies were fractured following a gunshot wound to the maxillofacial region. A literature review of case reports on bilateral mandibular fractures highlights the uniqueness of the presented case and supplements the text as the initial management, treatment, and prognosis of the case are discussed.

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          Most cited references73

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          1,454 mandibular fractures: a 3-year study in a hospital in Belo Horizonte, Brazil.

          To analyze the mandibular fractures which presented over a 3-year period at an emergency hospital in Belo Horizonte, Brazil. The data collected included age, sex, aetiology, date of trauma, associated maxillofacial trauma, anatomic site of fracture, and treatment. The analysis involved descriptive statistics and the Pearson's chi-square, Bonferroni, Kolmogorov-Smirnov, Kruskal-Wallis and Mann-Whiney tests, and analysis of variance. There were 1,454 mandibular fractures in 1,023 patients. Males of 20-29 years of age sustained the majority of fractures. Traffic accidents were the major causes of trauma, followed by violence and falls. A high incidence of fractures in women due to violence was observed. The condyle region was found to be the most common fracture site in the mandible. A surgical approach was performed in most cases. There were more accidents causing mandibular fractures on the weekends. The individuals with mandibular fractures due to "traffic accidents" were younger than those due to "violence" and "falls". There was a significant statistical association between age and aetiology as well as between sex and aetiology of mandibular fractures. Copyright © 2011 European Association for Cranio-Maxillo-Facial Surgery. Published by Elsevier Ltd. All rights reserved.
            • Record: found
            • Abstract: not found
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            The Epidemiology of Mandibular Fractures in the United States, Part 1: A Review of 13,142 Cases from the US National Trauma Data Bank

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              An Epidemiological Study on Pattern and Incidence of Mandibular Fractures

              Mandible is the second most common facial fracture. There has been a significant increase in the number of cases in recent years with the advent of fast moving automobiles. Mandibular fractures constitute a substantial proportion of maxillofacial trauma cases in Lucknow. This study was undertaken to study mandibular fractures clinicoradiologically with an aim to calculate incidence and study pattern and the commonest site of fractures in population in and around Lucknow. Patient presenting with history of trauma at various centers of maxillofacial surgery in and around Lucknow were included in this study. Detailed case history was recorded followed by thorough clinical examination, and radiological interpretation was done for establishing the diagnosis and the data obtained was analyzed statistically. Out of 66 patients with mandibular fractures, highest percentage was found in 21–30 years of age with male predominance. Road traffic accidents were the most common cause of fracture with parasymphysis being commonest site. Commonest combination was parasymphysis with subcondyle. There was no gender bias in etiology with number of fracture sites. The incidence and causes of mandibular fracture reflect trauma patterns within the community and can provide a guide to the design of programs geared toward prevention and treatment.

                Author and article information

                Journal
                Cureus
                Cureus
                2168-8184
                Cureus
                Cureus (Palo Alto (CA) )
                2168-8184
                23 March 2025
                March 2025
                : 17
                : 3
                : e81052
                Affiliations
                [1 ] Department of Orthodontics, Harvard School of Dental Medicine, Boston, USA
                [2 ] Department of Oral and Maxillofacial Surgery, University of Alabama at Birmingham, Birmingham, USA
                Author notes
                Article
                10.7759/cureus.81052
                12015997
                40271302
                307464f9-392b-47c8-b184-90e9e285ddc3
                Copyright © 2025, Cruz Walma et al.

                This is an open access article distributed under the terms of the Creative Commons Attribution License CC-BY 4.0., which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

                History
                : 21 March 2025
                Categories
                Dentistry
                Oral Medicine
                Trauma

                dental malocclusion,major trauma,mandibular fracture,mandibular reconstruction,oral reconstruction

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