‘Stylo-mandibular complex’ fracture from a maxillofacial surgeon's perspective – review of the literature and proposal of a management algorithm

Abstract The incidence of fractures of styloid process, either in isolation or association with mandibular fractures, is rare, and frequently overlooked. When present, they pose clinical dilemma in diagnosis and management. Proper management of styloid fractures is essential, not just to alleviate t...

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Bibliographic Details
Published in:International journal of oral and maxillofacial surgery 2016-03, Vol.45 (3), p.297-303
Main Authors: Gayathri, G, Elavenil, P, Sasikala, B, Pathumai, M, Krishnakumar Raja, V.B
Format: Article
Language:English
Subjects:
Adult
Algorithms
Biomechanical Phenomena
biomechanics
Bone Plates
Bone Screws
Dentistry
Female
Fracture Fixation, Internal - methods
Humans
Hyoid Bone - diagnostic imaging
Hyoid Bone - injuries
Hyoid Bone - surgery
mandibular angle fracture
Mandibular Fractures - diagnostic imaging
Mandibular Fractures - physiopathology
Mandibular Fractures - surgery
Oral and Maxillofacial Surgeons
Radiography, Panoramic
stylo-mandibular complex fracture
styloid process fracture
Surgery
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Summary:Abstract The incidence of fractures of styloid process, either in isolation or association with mandibular fractures, is rare, and frequently overlooked. When present, they pose clinical dilemma in diagnosis and management. Proper management of styloid fractures is essential, not just to alleviate the patients’ symptoms, but also to prevent potential complications like post-traumatic styloid syndrome and injury to adjacent vital structures. This article features a review of literature on ‘styloid fracture concomitant with mandibular fracture’ along with a case report. The article explores the biomechanics resulting in styloid fracture especially when co-existing with mandibular fractures. The article also enumerates the clinical features of this unusual clinical phenomenon and aims at rationalizing the need for its medical or surgical management. A simple protocol for the management of ‘stylo-mandibular complex’ fracture has been proposed.
ISSN:0901-5027
1399-0020
DOI:10.1016/j.ijom.2015.09.020