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What Does This CT Scan Of Mandible Indicate?
Question: Hello Dr.,
My dear son had fracture and below is the report of CT scan
Observation : CT scan of Mandible were studied. Comminuted fracture of left mandibular head/ condyle with subluxation/ dislocation inferiorly. Left mandibular fossa empty with soft tissue changes and air pockets. Right mandibular condyle normal. Ramus, body and symphysis menti of mandible are normal. ? fracture of left EAC wall adjacent to left TMJ and floor of mastoid. Thickened adenoids noted. Correlate clinically and followup.
Can I request you help me understand the severity and what treatment needs to be taken.
And please find below the link to 3d image restructuring.
http://tinypic.com/view.php?pic=2qa8itj&s=8#.U_bGZfmSzgU
http://i61.tinypic.com/vzk10k.jpg
http://i61.tinypic.com/2u9lgtg.jpg
http://i61.tinypic.com/20qjede.jpg
Regards
XXXXXX
My dear son had fracture and below is the report of CT scan
Observation : CT scan of Mandible were studied. Comminuted fracture of left mandibular head/ condyle with subluxation/ dislocation inferiorly. Left mandibular fossa empty with soft tissue changes and air pockets. Right mandibular condyle normal. Ramus, body and symphysis menti of mandible are normal. ? fracture of left EAC wall adjacent to left TMJ and floor of mastoid. Thickened adenoids noted. Correlate clinically and followup.
Can I request you help me understand the severity and what treatment needs to be taken.
And please find below the link to 3d image restructuring.
http://tinypic.com/view.php?pic=2qa8itj&s=8#.U_bGZfmSzgU
http://i61.tinypic.com/vzk10k.jpg
http://i61.tinypic.com/2u9lgtg.jpg
http://i61.tinypic.com/20qjede.jpg
Regards
XXXXXX
Brief Answer:
continue same treatment as advised.
Detailed Answer:
Hi, thanks for your query.
Dear XXXXXXX I went through the images.
It is definitely mandibular fracture.
But since the fracture segments are not displaced, not active treatment or surgery is needed to unite the fracture.
Your son is 8 yrs old, in children fracture heal faster with or without treatment.
So do not worry. Continue same treatment as advised.
Do regular follow up with your doctor, preferablly facio maxillary surgeon or good dentist.
Hope my answers have helped you. Thanks.
continue same treatment as advised.
Detailed Answer:
Hi, thanks for your query.
Dear XXXXXXX I went through the images.
It is definitely mandibular fracture.
But since the fracture segments are not displaced, not active treatment or surgery is needed to unite the fracture.
Your son is 8 yrs old, in children fracture heal faster with or without treatment.
So do not worry. Continue same treatment as advised.
Do regular follow up with your doctor, preferablly facio maxillary surgeon or good dentist.
Hope my answers have helped you. Thanks.
Above answer was peer-reviewed by :
Dr. Shanthi.E
Thank you for the reply, though I am much relieved after reading your reply I have still concerned as the report is using the words...Comminuted fracture , subluxation/ dislocation inferiorly, mandibular fossa empty with soft tissue,Thickened adenoids noted.
Can you please help me understand the gravity of these words in my dear son's case.
XXXXXXX
Can you please help me understand the gravity of these words in my dear son's case.
XXXXXXX
Brief Answer:
Nothing to worry.
Detailed Answer:
Hi, thanks for your follow up query.
All these are the terminologies used to describe the fracture and damage occurred.
If this was in in an adult treatment is very aggressive.
In children the bones are soft and still growing.
They are very flexible. Hence any amount of trauma are healed on its own. I don't see any reason in panicking.
If you are concerned, please consult with a facio maxillary surgeon.
Adenoids are hypertrophied, that's a normal physiological changes in children upto age 12.
So do not worry about it.
Hope my answers have helped you.
Thanks
Nothing to worry.
Detailed Answer:
Hi, thanks for your follow up query.
All these are the terminologies used to describe the fracture and damage occurred.
If this was in in an adult treatment is very aggressive.
In children the bones are soft and still growing.
They are very flexible. Hence any amount of trauma are healed on its own. I don't see any reason in panicking.
If you are concerned, please consult with a facio maxillary surgeon.
Adenoids are hypertrophied, that's a normal physiological changes in children upto age 12.
So do not worry about it.
Hope my answers have helped you.
Thanks
Note: For further queries, consult a joint and bone specialist, an Orthopaedic surgeon. Book a Call now.
Above answer was peer-reviewed by :
Dr. Prasad
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