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Management of Mandibular Fractures from Penetrating Trauma

Gunshot wound injuries to the face result in a varied scope of traumatic injuries. Mandible fractures may occur through this mechanism of injury, however when caused by firearms, the patterns of fracture and overall composite defects resulting are unique. The velocity of the weapon and the distance from which the injury occurred often determines the extent of injury produced from the penetrating force. A review of the management of mandibular fractures from penetrating trauma is presented. Operative and reconstructive options including advantages and disadvantages are discussed for consideration to produce the optimal result for rehabilitation of the injured patient.