Fracture Mandible Rajesh R Yadav, Akancha R Yadav, Prakash V Dhond
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1FRACTURE MANDIBLE
3FRACTURE MANDIBLE
Rajesh R Yadav MS (ENT) DORL FCPS Assistant Professor Rajawadi Hospital Formerly Registrar Shri Harilal Bhagwati Hospital Mumbai, Maharashtra, India Akancha R Yadav BDS Dental Consultant Mumbai, Maharashtra, India Prakash V Dhond MS (ENT) DORL Honorary ENT Consultant Shri Harilal Bhagwati Hospital Mumbai, Maharashtra, India ForewordChris De Souza
4
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Fracture Mandible
First Edition: 2012
9789350258019
Printed in
5Dedicated to
Dinesh Yadav
In memory of my brother Dinesh Yadav, who is still there with me and in me. His sweet memory always keeps him alive. I miss him in every step of my life.
Rajesh R Yadav
7Foreword
I am pleased and honored to write the foreword of this book on the Fracture Mandible. My initial reaction was one of amazement when I saw how well the book was written. When I finished reading it, I did feel that it was so well written that it was definitely worth publishing and that all of us should possess a copy of it and learn from it. It is lucid, well organized and extremely well illustrated. It is also an unusual book dealing with a problem that so far was in the realm of facial plastic surgery. The book is full of authors' passion in dealing with this problem and this passion is full of enthusiasm and deep insight. I have long felt that otolaryngologists need to expand their expertise and deal with facial plastic surgery in an in-depth way. As victims of high velocity trauma find their way to emergency rooms all over globe we will definitely find that this book become extremely relevant.
I look forward to seeing this book go into several editions and I wish to see its scope and purpose expand.
I have no doubt that these talented enthusiastic surgeons and authors with their passion and vision accomplish all of this.
Chris de Souza ms dorl dnb facs
Honorary ENT and Skull Base Surgeon
Tata Memorial Hospital, Mumbai, Maharashtra, India
Consultant Otolaryngologist and Head Neck Surgeon
Lilavati Hospital and Holy Family Hospital
Mumbai, Maharashtra, India
9Preface
In the modern era of rapid life, vehicular accidents and violence are a common occurrence. Fractures of the mandible are gaining attention due to the upward trend of accidents of two wheelers and other motor vehicles.
Before making an attempt of reducing the fracture, it is of utmost importance to learn not only the relevant anatomy but also the development, the dentition, the mechanisms of mandibular injuries and the different muscle forces acting on different fragments of mandible.
Although management of mandibular fractures is routinely included in the realm of plastic and reconstructive surgery or maxillofacial surgery, it may not be possible to avail of such expertise all at times and in every region of even a city like Mumbai, let alone managing such cases in more peripheral hospitals. When faced with such situations, we ventured to learn the art of same and, after managing more than two hundred cases of fracture mandible, we thought of putting our experience on a paper so that others can benefit from our work.
We do not claim that this is the best way, but we hope it can be of great help to our friends working at different levels especially those with smaller, private setups where, we will be happy to fill in the gaps in the required expertise.
We present here, to you, an overview of different methods of fixation, anesthesia, anatomy and overall treatment. With our own experience, we felt that even ENT Surgeons can deal with fractures of the mandible confidently. The purpose of this book is to motivate more and more ENT Surgeons to do so.
We have avoided some of the techniques that are not often used now to fix the mandible (e.g. external fixation techniques, nonrigid fixation techniques, etc.) in order to stay abreast with the current trends in management.
We are grateful to our teachers, paramedical staff and patients who had shown confidence in us.
We request the readers to point out any shortcomings in our present effort to share our experience as it is a learning process and learning never stops.
Rajesh R Yadav
Akancha R Yadav
Prakash V Dhond
10Acknowledgments
First and foremost, I would like to thank god for giving me the opportunity and skill to do this work. I am thankful to my parents for always showering their blessings on us. I am most grateful for the continued motivation and contribution bestowed upon me by my co-editor that includes my mentor Dr Prakash V Dhond and Dr Akancha R Yadav. The greater part of my experience comes from Shri Harilal Bhagwati Municipal General Hospital, Mumbai, Maharashtra, India, which for me is more than a temple. Here I had the good fortune of also having the expert guidance of Dr Lalit Seth. My sincerest thanks go out to my patients who have put their faith in my endeavors. I would like to thank the administrators, particularly Dr Mahendra Wadiwala, Dr Dinesh Shetty, Dr Bhatt, Anesthetist, Dr Bhavana Wadiwala and others, who trusted me and allowed me to manage such cases here. I am thankful to my brother Sunil Yadav who helped me in writing this book. I am grateful to Dr Ajay Haryani (Plastic Surgeon) from whom I learnt the procedure.
I am grateful to Dr Deepak More and Dr Girish Surlikar, my buddies, my friends, and everything who I trust will be always there for me in need.
Rajesh R Yadav