Mandibular Ramus Fractures: A Case Series of Diversity in Rarity.

Area of Science:

• Oral and Maxillofacial Surgery
• Trauma Surgery
• Anatomy

Background:

• Mandibular ramus fractures are often minimally displaced due to surrounding musculature.
• Common etiologies include road traffic accidents and interpersonal violence.
• These fractures frequently occur with other mandibular injuries.

Observation:

• The mandibular ramus is anatomically situated between the dentate and non-dentate mandible.
• Minimally displaced fractures are typically managed with closed reduction, though this has drawbacks.
• Fracture patterns vary, necessitating individualized treatment plans.

Findings:

• Four distinct types of mandibular ramus fractures were identified.
• Open reduction internal fixation (ORIF) was demonstrated as an effective management strategy.
• ORIF facilitates preservation of the inferior alveolar nerve, preventing paresthesia.

Implications:

• ORIF offers a viable surgical solution for complex mandibular ramus fractures.
• This approach may improve outcomes compared to closed reduction.
• Understanding fracture patterns is crucial for successful nerve preservation and treatment.