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ENT · Facial trauma: mandibular fracture
Sample itemAfter an assault, a man cannot close his teeth properly, has numbness of the lower lip and a step deformity on the lower border of the jaw. A second fracture on the opposite side is also looked for. Why?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
C. The mandible is a ring, so a fracture is often accompanied by another elsewhere
The mandible acts as a bony ring attached at the temporomandibular joints, so a force producing a fracture often causes a second fracture, commonly at the contralateral angle or condyle. The common sites are the condyle, angle and body. Numbness of the lower lip indicates inferior alveolar nerve injury.
Option by option
A. The mandible is a straight rod
The mandible forms a horseshoe ring.
B. Fractures are always solitary
Multiple fractures are common.
C. The mandible is a ring, so a fracture is often accompanied by another elsewhere (correct)
Correct. Ring structure means a second fracture is likely.
D. The temporal bone is always involved
The temporal bone is not routinely involved.
Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.
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