Mandible fracture

Diagnosis

-bite most sensitive (or tongue blade braking)

-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.

Tongue blade test-havept bite down on tongue blade and twist it, if a mandibular Fx is present then the pt should reflexively openmouth...95% sensitive and 65% specific.

See Also

Trauma: Maxilofacial