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Fractures: Bone Repair01:27

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Treatment for a fracture is based on the type of break, the bone affected, and the patient's age.
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The human skull is composed of several bones that come together to protect the brain and support the structures of the face. The junctions where these bones meet are called sutures.
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Parasymphyseal Fracture Following Facial Feminization Surgery.

Seamus P Caragher1, Kimberly S Khouri, Alexis Buckley

  • 1Division of Plastic and Reconstructive Surgery, Massachusetts General Hospital, Boston, MA.

The Journal of Craniofacial Surgery
|June 5, 2025
PubMed
Summary
This summary is machine-generated.

Facial feminization surgery can cause rare complications like mandibular fractures. This case report details a successful treatment for a parasymphyseal mandibular fracture after genioplasty and osteoplasties in a transgender woman.

Keywords:
Facial feminization surgerygenioplastymandible fracturevirtual surgical planning

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Area of Science:

  • Plastic Surgery
  • Oral and Maxillofacial Surgery
  • Gender-Affirming Care

Background:

  • Facial feminization surgery (FFS) offers gender-affirming transformations for transgender women.
  • FFS procedures are increasing, with expanded insurance coverage in some regions.
  • Large-scale studies on FFS complication rates are limited.

Purpose of the Study:

  • To report the first case of a parasymphyseal mandibular fracture after specific FFS procedures.
  • To describe the management and outcome of this rare complication.

Main Methods:

  • A case report of a 52-year-old transgender woman undergoing FFS.
  • Description of sliding reduction genioplasty and bilateral mandibular body reduction osteoplasties.
  • Documentation of a subsequent parasymphyseal mandibular fracture and its treatment.

Main Results:

  • A parasymphyseal mandibular fracture occurred post-operatively.
  • The fracture was successfully treated with closed reduction.
  • The patient experienced a good recovery without further complications.

Conclusions:

  • While generally safe, FFS carries risks, including rare skeletal complications like mandibular fractures.
  • Prompt diagnosis and appropriate management, such as closed reduction, can lead to favorable outcomes.
  • Further research into FFS complication rates is warranted.