Blogs

This case highlights the critical importance of advanced surgical intervention when managing severe intraoperative complications.

Case Presentation:

A patient presented with a displaced and neglected mandibular fracture of 20 days' duration, occurring at an outside facility during dental implant placement in the posterior mandible. Examination revealed hard swelling, mobile/displaced bone segments, and a severely atrophic mandibular ridge, vastly increasing the complexity of the case.

Surgical Management:

An Open Reduction and Internal Fixation (ORIF) was successfully executed under general anesthesia:

• Approach & Access: Utilized a precise extra-oral submandibular incision.
• Nerve Preservation: Raised subplatysmal flaps and meticulously isolated the marginal mandibular nerve, utilizing an intraoperative nerve stimulator to ensure complete preservation and intact conduction.
• Vascular Control: Safely identified and ligated the facial artery and vein.
• Reduction & Fixation: Re-established correct dental occlusion via intermaxillary fixation (IMF), followed by rigid stabilization using titanium reconstruction plates and screws.
• Closure: Completed anatomical wound closure using subcuticular suturing for an optimal cosmetic outcome.

Postoperative Status:

The patient is recovering exceptionally well with stable occlusion, resolving swelling, and zero neurological deficits.

Kudos to the surgical team for turning a highly compromised situation into a successful, life-altering recovery!

Operating Surgeon:

Dr. Amol Ghiasas (MDS, Oral and Maxillofacial Surgeon | Fellow, Head & Neck Surgical Oncology)

📞 Contact: +91 98339 97421

#OralSurgery #MaxillofacialSurgery #DentalImplants #ImplantComplications #ORIF #TraumaSurgery #ReconstructiveSurgery #MedicalCaseReport #SurgeonLife