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Updated: Aug 2, 2025
Systematic Assessment of Mammalian Skull Specimens for Dental and Temporomandibular Joint Pathology
Published on: August 22, 2022
[On the issue of forensic evaluation of mandibular fractures complicated with infections]
V L Popov1, O A Egorova1,2, I L Beleshnikov1
1Pavlov First Saint Petersburg State Medical University, St. Petersburg, Russia.
Abstract:
The analysis of 387 cases of mandibular fractures complicated by posttraumatic infections is presented. These infections were quite diverse - from local suppuration of soft tissues surrounding the fracture to widespread processes affecting fatty tissue planes, including the anterior and posterior mediastinum. Infectious complications determine the injury outcome in each case - recovery, disability, or death. Two clinical observations with lethal outcomes are described.
Insights
Posttraumatic infections significantly impact mandibular fracture outcomes, ranging from mild suppuration to severe mediastinal spread. These complications critically influence recovery, disability, and mortality, as evidenced by two fatal cases.
Area of Science:
- Oral and Maxillofacial Surgery
- Infectious Diseases
- Trauma Surgery
Context:
- Mandibular fractures present a significant clinical challenge.
- Posttraumatic infections complicate a substantial number of these fractures.
- Infections can range from localized to severe, systemic involvement.
Purpose:
- To analyze the spectrum and impact of posttraumatic infections in mandibular fractures.
- To investigate the relationship between infectious complications and patient outcomes.
- To highlight the critical role of infection in determining prognosis.
Summary:
- A review of 387 cases of mandibular fractures complicated by infection was conducted.
- Infections observed included soft tissue suppuration and extensive spread into mediastinal planes.
- Outcomes were strongly correlated with the severity and extent of infectious complications.
Impact:
- Understanding infection patterns is crucial for managing mandibular fractures.
- Early recognition and treatment of posttraumatic infections can improve patient outcomes.
- This analysis underscores the life-threatening potential of severe posttraumatic infections following mandibular injury.
