What is the ICD 10 CM code for mandible fracture?
S02.609B
Fracture of mandible, unspecified, initial encounter for open fracture. S02. 609B is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
What surgical techniques are available for the management of fractures to the mandible?
There are frequently several appropriate techniques available for the definitive management of a given mandible fracture. In general, mandible fractures are treated either closed (maxillomandibular fixation, splinting, modified diet) or open (plates and screws, interosseous wiring, lag screws).
What is a closed fracture of mandible?
Mandibular fracture, also known as fracture of the jaw, is a break through the mandibular bone. In about 60% of cases the break occurs in two places. It may result in a decreased ability to fully open the mouth. Often the teeth will not feel properly aligned or there may be bleeding of the gums.
What is the general principles in the treatment of jaw fracture as to its primary goal?
Treating mandibular fractures involves providing the optimal environment for bony healing to occur: adequate blood supply, immobilization, and proper alignment of fracture segments. As a result, most fractures require reduction and fixation to allow for primary or secondary bone healing.
When should MMF be removed?
Arch bars are applied to the teeth, and MMF is secured. In most cases, heavy elastics or wires are placed for four weeks, followed by lighter training elastics, encouraging a range of motion exercise and a soft or blenderized diet. At 6-8 weeks, the arch bars may be removed.
What is a Subcondylar fracture?
Subcondylar fractures are, by definition, below the attachment of the joint capsule and in general are devoid of ankylosis. Therefore, maxillomandibular fixation is recommended to be applied for a period of 4 to 6 weeks in most cases.
What portion of the mandible is most commonly fractured?
Fridrich and associates showed that most fractures occur in the body (29%), condyle (26%), and angle (25%) of the mandible. The symphyses account for 17% of mandibular fractures, whereas fractures of the ramus (4%) and coronoid process (1%) have lower occurrence rates.
How do you check for a mandibular fracture?
The following types of radiographs are helpful in diagnosis of mandibular fractures:
- Panoramic radiograph. Mandibular fracture.
- Lateral oblique radiographs.
- Posteroanterior (PA) mandibular view.
- Reverse Towne view.
- Mandibular occlusal view.
- Periapical radiographs.
- Temporomandibular joint views including tomography.
- CT scan.
What method of surgical treatment is used for closed reposition and fixation of the mandible fracture?
Closed Reduction IMF/MMF is a technique to immobilize the fractured segments of the mandible by externally locking the occlusion into place, using the dentition as a point of stability.
Which is the best treatment for a mandible fracture?
As such, open reduction, internal fixation (ORIF) may be preferable for some patients, particularly the elderly, to avoid the discomfort and hindrance of dental wiring. Indeed, more displaced fractures of the mandibular body will generally require ORIF for optimal anatomical reduction.
Can a nondisplaced mandibular fracture be closed?
Nondisplaced and minimally displaced fractures of the mandibular body can often be managed closed with a period of maxillomandibular fixation (MMF), particularly when the fracture is isolated and reducible and the dentition is sufficient. However, this practice results in prolonged immobility and challenges with intraoral hygiene.
Can a mandible fracture be a postoperative complication?
Sensation in the lower lip should also be tested and recorded. Damage to the inferior alveolar nerve (IAN) as it courses through the body of the mandible is not uncommon with mandible fractures, and failure to note this preoperatively may be mistaken as a postoperative complication.
Can a mandible fracture damage the inferior alveolar nerve?
Damage to the inferior alveolar nerve (IAN) as it courses through the body of the mandible is not uncommon with mandible fractures, and failure to note this preoperatively may be mistaken as a postoperative complication. We have noted mandibular angle fractures to have significantly higher rates of hypoesthesia.