Axial section of face CT showing fracture of the mandibular parasymphysis. Retroposition of fractured mental region is shown. CT indicates computed tomography.

Axial section of face CT showing fracture of the mandibular parasymphysis. Retroposition of fractured mental region is shown. CT indicates computed tomography.

Source publication
Article
Full-text available
Bilateral mandibular parasymphyseal fractures may compromise airway maintenance. The aim of the present study is to report the case of a patient with bilateral parasymphyseal fracture who developed some degree of airway obstruction and required urgent surgical treatment. A 19-year-old female motorcycle accident victim presenting bilateral mandibula...

Context in source publication

Context 1
... examination revealed the presence of mandibular mobility caused by fracture in the bilateral symphysis and active bleeding from the fractured sites, associated with malocclusion and limited mouth opening. A clinically computed tomography scan of the face with axial, coronal, and 3-D reconstruction was performed, which showed bilateral parasymphyseal fracture (Figures 1 and 2). Based on the clinical findings, the fracture was immobilized with stainless steel circumdental wires to reduce pain and bleeding from the fractures. ...

Citations

Chapter
Critically ill paediatric transfers have expanded rapidly over the past ten years and, as such, the need for transfer teams to recognise, understand and treat the various illnesses that they encounter is greater than ever. This highly illustrated book covers a multitude of clinical presentations in a case-based format to allow an authentic feel to the transfer process. Written by clinicians with experience in thousands of transfers, it brings together many years of experience from a world-renowned hospital. Following the case from initial presentation, to resuscitation and referral and finally with the transfer itself; the book explores the clinical stabilisation, human factors decisions and logistical challenges that are encountered every day by these teams. Following the entire journey, this is an ideal resource for all professionals who may be involved in critical care transfer and retrieval medicine, particularly those working in paediatrics, emergency medicine, anaesthesiology, intensive care, or pre-hospital settings.