Management of Isolated Mandibular Body Fractures in Adults

Authors

  • José Florencio F. Lapeña, Jr. MA, MD Department of Otolaryngology-Head and Neck Surgery, University of the Philippines College of Medicine and Philippine General Hospital; Department of Otolaryngology – Head and Neck Surgery, East Avenue Medical Center https://orcid.org/0000-0002-5794-1878
  • Joselito F. David, BS, MD Department of Otolaryngology – Head and Neck Surgery, East Avenue Medical Center; Department of Otolaryngology - Head and Neck Surgery, University of Santo Tomas
  • Ann Nuelli B. Acluba - Pauig, BS, MD Department of Otolaryngology – Head and Neck Surgery, East Avenue Medical Center https://orcid.org/0000-0002-7205-8135
  • Jehan Grace B. Maglaya, BS, MD Department of Otolaryngology – Head and Neck Surgery, East Avenue Medical Center; Department of Otorhinolaryngology - Head and Neck Surgery, University of the East – Ramon Magsaysay Memorial Medical Center Inc.
  • Enrico Micael G. Donato, BS, MD Department of Otolaryngology – Head and Neck Surgery, East Avenue Medical Center; Department of Otolaryngology – Head and Neck Surgery, Manila Central University - Filemon D. Tanchoco Medical Foundation Hospital
  • Francis V. Roasa, BS, MD Department of Otolaryngology - Head and Neck Surgery, University of Santo Tomas
  • Philip B. Fullante, BS, MD Department of Otolaryngology-Head and Neck Surgery, University of the Philippines College of Medicine and Philippine General Hospital https://orcid.org/0000-0002-4064-229X
  • Jose Rico A. Antonio, BS, MD Department of Ear, Nose, Throat, Head and Neck Surgery, Rizal Medical Center https://orcid.org/0000-0002-9421-6843
  • Ryan Neil C. Adan, MD Department of Otolaryngology – Head and Neck Surgery, East Avenue Medical Center
  • Arsenio L. Pascual III, BS, MD Department of Otolaryngology - Head and Neck Surgery, Quezon City General Hospital
  • Jennifer M. de Silva- Leonardo, MD, MMHoA Department of Otolaryngology – Head and Neck Surgery, Manila Central University - Filemon D. Tanchoco Medical Foundation Hospital
  • Mark Anthony T. Gomez, MD, MPM Department of Otolaryngology – Head and Neck Surgery, East Avenue Medical Center; Department of Otolaryngology-Head and Neck Surgery, Jose R. Reyes Memorial Medical Center
  • Isaac Cesar S. De Guzman, BS, MD Department of Otolaryngology-Head and Neck Surgery, Jose R. Reyes Memorial Medical Center; Department of Otolaryngology-Head and Neck Surgery, De La Salle University Medical Center,
  • Veronica Jane B. Yanga, RN, MD Department of Otolaryngology – Head and Neck Surgery, East Avenue Medical Center https://orcid.org/0000-0001-9201-0422
  • Irlan C. Altura, RMT, MD Department of Otolaryngology-Head and Neck Surgery, Ilocos Training and Regional Medical Center
  • Dann Joel C. Caro, RN, MD Department of Otolaryngology-Head and Neck Surgery, Ilocos Training and Regional Medical Center
  • Karen Mae A. Ty, RN, MD Department of Otolaryngology-Head and Neck Surgery, Jose R. Reyes Memorial Medical Center https://orcid.org/0000-0001-8101-302X
  • Elmo R. Lago Jr., MD, MClinAud Department of Otorhinolaryngology - Head and Neck Surgery, University of the East – Ramon Magsaysay Memorial Medical Center Inc
  • Joy Celyn G. Ignacio, BS, MD Department of Otolaryngology – Head and Neck Surgery, East Avenue Medical Center
  • Antonio Mario L. de Castro, BS, MD Department of Otolaryngology-Head and Neck Surgery, University of the Philippines College of Medicine and Philippine General Hospital
  • Policarpio B. Joves Jr., BS, MD Office of the Medical Director, Far Eastern University – Nicanor Reyes Memorial Foundation Medical Center
  • Alejandro V. Pineda Jr., BS, MD Department of Family Medicine, University of Santo Tomas Hospital
  • Edgardo Jose B. Tan, BS, MD Department of Anesthesiology, University of Santo Tomas Hospital
  • Tita Y. Cruz, MA, EdD School of Nursing, Far Eastern University – Nicanor Reyes Memorial Foundation Medical Center
  • Eliezer B. Blanes, DMD Department of Dental Medicine, St. Jude Hospital and Medical Center
  • Mario E. Esquillo, DMD Department of Dental and Oral Medicine, De Los Santos – STI Medical Center
  • Emily Rose M. Dizon, BS, MD Department of Radiology, East Avenue Medical Center
  • Joman Q. Laxamana, BS, MD Motorcycle Philippines Forum, East Avenue Medical Center Rider’s Club
  • Fernando T. Aninang, BS, MD Motorcycle Philippines Forum, East Avenue Medical Center Rider’s Club
  • Ma. Carmela Cecilia G. Lapeña, BA, MA Multimedia Arts Program, School of Design and Arts, De La Salle - College of St. Benilde

Keywords:

Mandibular fractures, jaw fractures, maxillofacial fractures, classification, complications, history, diagnosis, diagnostic imaging, therapy, diet therapy, drug therapy, prevention and control, rehabilitation, surgery

Abstract

Objective

The mandible is the most common fractured craniofacial bone of all craniofacial fractures

in the Philippines, with the mandibular body as the most involved segment of all mandibular

fractures. To the best of our knowledge, there are no existing guidelines for the diagnosis and

management of mandibular body fractures in particular. General guidelines include the American

Academy of Otolaryngology – Head and Neck Surgery Foundation (AAOHNSF) Resident Manual

of Trauma to the Face, Head, and Neck chapter on Mandibular Trauma, the American Association

of Oral and Maxillofacial Surgeons (AAOMS) Clinical Practice Guidelines for Oral and Maxillofacial

Surgery section on the Mandibular Angle, Body, and Ramus, and a 2013 Cochrane Systematic

Review on interventions for the management of mandibular fractures. On the other hand, a

very specific Clinical Practice Guideline on the Management of Unilateral Condylar Fracture

of the Mandible was published by the Ministry of Health Malaysia in 2005. Addressing the

prevalence of mandibular body fractures, and dearth of specific guidelines for its diagnosis and

management, this clinical practice guideline focuses on the management of isolated mandibular

body fractures in adults.

 

Purpose

This guideline is meant for all clinicians (otolaryngologists – head and neck surgeons, as

well as primary care and specialist physicians, nurses and nurse practitioners, midwives and

community health workers, dentists, and emergency first-responders) who may provide care

to adults aged 18 years and above that may present with an acute history and physical and/

or laboratory examination findings that may lead to a diagnosis of isolated mandibular body

fracture and its subsequent medical and surgical management, including health promotion and

disease prevention.

 

It is applicable in any setting (including urban and rural primary-care, community centers,

treatment units, hospital emergency rooms, operating rooms) in which adults with isolated

mandibular body fractures would be identified, diagnosed, or managed.

 

Outcomes are functional resolution of isolated mandibular body fractures; achieving

premorbid form; avoiding use of context-inappropriate diagnostics and therapeutics; minimizing

use of ineffective interventions; avoiding co-morbid infections, conditions, complications and

adverse events; minimizing cost; maximizing health-related quality of life of individuals with

isolated mandibular body fracture; increasing patient satisfaction; and preventing recurrence in

patients and occurrence in others.

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Published

2021-11-24

How to Cite

1.
Lapeña JF, David J, Acluba - Pauig AN, Maglaya JG, Donato EM, Roasa F, Fullante P, Antonio JR, Adan RN, Pascual A, de Silva- Leonardo J, Gomez MA, De Guzman IC, Yanga VJ, Altura I, Caro DJ, Ty KM, Lago E, Ignacio JC, de Castro AM, Joves P, Pineda A, Tan EJ, Cruz T, Blanes E, Esquillo M, Dizon ER, Laxamana J, Aninang F, Lapeña MCC. Management of Isolated Mandibular Body Fractures in Adults. Philipp J Otolaryngol Head Neck Surg [Internet]. 2021 Nov. 24 [cited 2021 Nov. 28];:1-43. Available from: https://pjohns.pso-hns.org/index.php/pjohns/article/view/supplements

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