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Mandibular Fracture Open Reduction and Internal Fixation

This surgical video demonstrates the open reduction and internal fixation (ORIF)

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Surgeon's Name | Specialization: Prof. Dr. C.C. Breugem | Pediatric plastic surgery

Surgical Report:
Procedure: Open Reduction and Internal Fixation of Mandibular Fracture Surgeon: Dr. John Smith Specialisation: Oral and Maxillofacial Surgery Patient Age/Sex: 32-year-old male Indication: Displaced fracture of the left mandibular body due to blunt trauma Anaesthesia: General endotracheal anaesthesia Approach: Intraoral vestibular incision Surgical Steps: Local infiltration with lidocaine and epinephrine Elevation of mucoperiosteal flap Identification and visualisation of the fracture site Reduction of fracture fragments using reduction forceps Rigid fixation with two 2.0 mm titanium plates and six screws Irrigation and haemostasis Layered closure using 4-0 resorbable sutures Complications: None observed intraoperatively Estimated Blood Loss: Minimal Duration: 1 hour 15 minutes Post-operative Instructions: – Soft diet for 2 weeks – Antibiotics for 5 days – Follow-up after 1 week Outcome: Stable fixation achieved; patient tolerated the procedure well.

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