International Journal of Dentistry Research 2020; 5(2): 62-65 DOI:10.31254/dentistry.2020.5207

Case Report

Open reduction and internal fixation of mandibular left parasymphyseal fracture and conservative management of bilateral condylar fracture in a pillion rider- “Rules should be followed not ignored’’

Karthik.S¹ , S Kumaravel¹ , K Velavan² , Mukundan RN² , Evangeline Cynthia D³ , Rajprabha⁴

Karthik.S,S Kumaravel,K Velavan,Mukundan RN,Evangeline Cynthia D,Rajprabha

1. Consultant Dental Surgeon, Consultant Oral and Maxillofacial Pathologist, Department of Dentistry/Oral and Maxillofacial Pathology, Kasthuri Multispecialty Hospital, West tambaram, Chennai- 600045, Tamilnadu, India
2. Consultant Oral and Maxillofacial Surgeon, Department of Dentistry/Oral and Maxillofacial Pathology, Kasthuri multispecialty Hospital, West Tambaram, Chennai, 600045 Tamil Nadu, India
3. Consultant Physician/Sonologist, Department of Dentistry/Oral and Maxillofacial Pathology, Kasthuri multispecialty Hospital, West Tambaram, Chennai, 600045 Tamil Nadu, India
4. Consultant Oral and Maxillofacial Radiologis, Department of Dentistry/Oral and Maxillofacial Pathology, Kasthuri multispecialty Hospital, West Tambaram, Chennai, 600045 Tamil Nadu, India

*Author to whom correspondence should be addressed.

Received: 31st March, 2020 / Accepted: 1st June, 2020 / Published : 30th August, 2020

Abstract

Maxillofacial injuries sustained through Road traffic accidents (RTAs) is one of the leading causes of hospitalization in India. Numerous factors such as ever increasing amount of two wheelers, assault conditions, lack of safety measures such as helmets, seat belts and lack of strict implementation of such rules, prevailing socioeconomic, cultural and environmental factors results in a substantial number of facial fractures from RTAs. By 2020, RTA injuries will rise as the 6th major cause of death worldwide. One of the most commonly employed means to thwart such RTAs include the use of helmet, following speed limits, obeying stop signs and traffic signals. Among two wheelers, the use of Helmets plays a crucial role in protecting the cranial vault and potentially the facial skeleton if a full face helmet is used. 25% of the RTAs are caused due to two wheelers rather than four wheelers. Pillion rider, who ride passenger behind the rider on a two wheelers more suspectible to morbid injuries due to lack of safety measures like not wearing a helmet, improper sitting patterns especially by females in India. A study showed injuries such as contusion and skull fractures are common when riding pillion. Here we report a case of mandibular symphysis fracture along with bilateral subcondylar fracture with medial displacement of the fractured segment sustained via RTA while riding pillion.