Mandible fracture: Difference between revisions
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m (moved Mandible Fx to Mandible Fracture) |
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Revision as of 05:21, 4 July 2011
Diagnosis
- Bite test most sensitive (or tongue blade breaking)
- Have pt bite on tongue blade and twist it
- If mandibular Fx present then pt should reflexively open mouth
- Sn 95%, Sp 65%
- If mandibular Fx present then pt should reflexively open mouth
- Have pt bite on tongue blade and twist it
- Check Stenson's duct for bleeding
- If suspicious:
- Flat films (adult)> panorex if neg
- CT with recontruct (children)
- Sublingual hematoma is suggestive of an occult jaw fracture.