Management of Isolated Mandibular Body Fractures in Adults
Keywords:Mandibular fractures, jaw fractures, maxillofacial fractures, classification, complications, history, diagnosis, diagnostic imaging, therapy, diet therapy, drug therapy, prevention and control, rehabilitation, surgery
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.
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
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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