Management of Isolated Mandibular Body Fractures in Adults
Authors: Lapeña José Florencio , David Joselito , Acluba - Pauig Ann Nuelli , Maglaya Jehan Grace , Donato Enrico Micael , Roasa Francis , Fullante Philip , Antonio Jose Rico , Adan Ryan Neil , Pascual Arsenio , De Silva- Leonardo Jennifer , Gomez Mark Anthony , De Guzman Isaac Cesar , Yanga Veronica Jane , Altura Irlan , Caro Dann Joel , Ty Karen Mae , Lago Elmo , Ignacio Joy Celyn , De Castro Antonio  Mario , Joves Policarpio , Pineda Alejandro , Tan Edgardo Jose , Cruz Tita , Blanes Eliezer , Esquillo Mario , Dizon Emily Rose , Laxamana Joman , Aninang Fernando , Lapeña Ma. Carmela Cecilia 
Published: June 2022

Objective

The mandible is the most common fractured craniofacial bone of all craniofacial fractures

in the Philippines, with the mandibular body as the most involved segment of all mandibular

fractures. To the best of our knowledge, there are no existing guidelines for the diagnosis and

management of mandibular body fractures in particular. General guidelines include the American

Academy of Otolaryngology – Head and Neck Surgery Foundation (AAOHNSF) Resident Manual

of Trauma to the Face, Head, and Neck chapter on Mandibular Trauma, the American Association

of Oral and Maxillofacial Surgeons (AAOMS) Clinical Practice Guidelines for Oral and Maxillofacial

Surgery section on the Mandibular Angle, Body, and Ramus, and a 2013 Cochrane Systematic

Review on interventions for the management of mandibular fractures. On the other hand, a

very specific Clinical Practice Guideline on the Management of Unilateral Condylar Fracture

of the Mandible was published by the Ministry of Health Malaysia in 2005. Addressing the

prevalence of mandibular body fractures, and dearth of specific guidelines for its diagnosis and

management, this clinical practice guideline focuses on the management of isolated mandibular

body fractures in adults.

 

Purpose

This guideline is meant for all clinicians (otolaryngologists – head and neck surgeons, as

well as primary care and specialist physicians, nurses and nurse practitioners, midwives and

community health workers, dentists, and emergency first-responders) who may provide care

to adults aged 18 years and above that may present with an acute history and physical and/

or laboratory examination findings that may lead to a diagnosis of isolated mandibular body

fracture and its subsequent medical and surgical management, including health promotion and

disease prevention.

 

It is applicable in any setting (including urban and rural primary-care, community centers,

treatment units, hospital emergency rooms, operating rooms) in which adults with isolated

mandibular body fractures would be identified, diagnosed, or managed.

 

Outcomes are functional resolution of isolated mandibular body fractures; achieving

premorbid form; avoiding use of context-inappropriate diagnostics and therapeutics; minimizing

use of ineffective interventions; avoiding co-morbid infections, conditions, complications and

adverse events; minimizing cost; maximizing health-related quality of life of individuals with

isolated mandibular body fracture; increasing patient satisfaction; and preventing recurrence in

patients and occurrence in others.