Bilateral fracture in the chin department

05-09-2009
Bilateral fracture in the chin department
In clinical practice, such a fracture is quite rare. Fracture line at the same place in the canines. By the middle fragments (smaller) are attached only to the muscles that drive the lower jaw, which is responsible for its shift downwards and backwards, if the oblique angle of the fracture gap in the front is directed inwards and backwards, ie line fracture on the outer compact disc is closer, and on the interior – more towards the middle line. Alveolar part with the teeth on that fragments bends outwards. If the above inverse relationship, the displacement of the average posterior fragments can not happen, because it will be retained angled side (large) fragments. Moreover, shifting to the midline large fragments may in this case to push the average otlomok front. However, to offset it down barriers will not. 

If the fracture line runs at right angles to the longitudinal axis of the mandible, and external and internal compact discs are arranged at equal distance from the midline, middle otlomok may infringe upon between the two lateral and posterior displacement of it will not happen. When the removal of smaller fragments of the tongue posteriorly possible and the appearance of signs of respiratory difficulties due to the pressure on the tongue epiglottis (dislocation asphyxia). Both sides fragments will move to the center line due to the reduction of the lateral, to a lesser extent – the medial pterygoid muscles on each fragment. Alveolar part of their lean inward (oral), and the lower edge of the body and the angle of the mandible – outward force due to the prevalence of chewing muscles on the medial wing-reduction and jaw-hyoid muscles. Chewing, temporal and medial pterygoid muscles will turn these fragments up to papulose contact with the teeth-antagonists. On average, fragments of teeth in contact. 

Patients complain of pain in the jaw and inability to bite off food because of lack of contact the front of teeth. When opening the mouth, the pain is greatly enhanced. Defined swelling and a hematoma of the lower lip, the chin and anterior Wharton area. The right and left of the midline palpable bony protrusions on the base of the body of the mandible within the boundaries of the chin area. Symptom burden at the pressure on the corners of the mandible positive on both sides of the midline. There is a vast area of hemorrhage in the tissue of the lower body of the arches of the mouth and hyoid area within the small molars. Language somewhat elevated. Perhaps the offset tongue posteriorly. When fractures of the localization of frequent ruptures of the alveolar mucosa, the severity and extent of which depends largely on the impact force and deflection of fragments. Clearly identified the displacement of all three fragments when checking a symptom of their mobility.

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Save the #buttstuff for [email protected] I am on bipolar diorsder and probably a mild case of Aspergers. I’m pretty much a wreck, but my cuckoobananas is neither drink or drug [email protected][Red-acted] Eh, I believe in the Usos, and I like fantasy booking, and writing in general.And just wait, someday I will bring back Stupid Fantasy Booking Theatre or whatever I called it and fantasy book the Mulkeys into becoming regarded as one of the greatest tag teams of all time, responsible for making tag team wrestling relevant, and even a legitimate main event draw, to this very day. Maybe I can write it out and do a dramatic reading at King of Trios or something.

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Great column as usual. Regarding the ebrdyvoey loves legends’ point, I can’t help but think back to when Cody Rhodes got his face broke by Rey Mysterio and Dusty showed up, acting like he wanted them to reconcile, then turned on Rey and laughed as Cody beat the tar out of Rey. It was AWESOME, ebrdyvoey booed the shit outta Dusty, and is currently my second favourite Mysterio moment, behind CM Punk happy birthday. But the next time Dusty showed up, he got cheered. I felt betrayed.

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On Zack Ryder, there is always that rumor that WWE made him look like an idiot beasuce of him pushing himself on his youtube channel. So he shows up with that stupid outfit and what happens? Worlds Strongest Slam maybe Zack Ryder should just be happy to be there and not try so darn hard to be noticed. It does not seem to be working out for him.

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