Michael Jason Reiter DO, Presenter: Nothing to Disclose

Ryan Becton Schwope MD, Abstract Co-Author: Nothing to Disclose

Paul Joseph Shogan MD, Abstract Co-Author: Nothing to Disclose

Jonathan Kini, Abstract Co-Author: Nothing to Disclose

Jared Theler, Abstract Co-Author: Nothing to Disclose

The major teaching points of this exhibit are: 1. Closed treatment of nondisplaced mandibular fractures is valid for patients who accept MMF. However, ORIF is preferred to avoid the drawbacks and inconveniences of MMF and is recommended for displaced fractures 2. Repair of condylar fractures is controversial without consensus amongst surgeons. However, fractures with severe condylar process displacement should undergo fixation 3. Two basic types of fracture fixation are load-bearing and load-sharing osteosynthesis which differ with regards to how much of the functional load the plate assumes 4. 1 or 2 plates may be used to fixate condylar fractures depending on the fracture morphology and amount of bone available to hold the screws 5. Nonunion, malocclusion, infection and fixation failure are potential complications

1. Indications for surgical intervention a. Symphysis b. Body c. Angle d. Ramus i. Condylar ii. Coronoid 2. Operative approaches a. Body/Symphysis b. Angle c. Ramus 3. Goals of surgical repair on CT a. Overview b. Body/Symphysis c. Angle d. Coronoid e. Condylar i. Intracapsular ii. Extracapsular 4. Commonly complications a. Nonunion b. Malocclusion c. Infection d. Fixation failure

http://abstract.rsna.org/uploads/2014/14001514/14001514_11zp.pdf

Reiter, M, Schwope, R, Shogan, P, Kini, J, Theler, J, Postoperative CT of the Mandible Following Trauma: Review of Normal Appearances and Common Complications.  Radiological Society of North America 2014 Scientific Assembly and Annual Meeting, - ,Chicago IL. http://archive.rsna.org/2014/14001514.html