This document presents a case report of a 22-year-old male patient who experienced trauma to the right side of his face after a motorcycle accident 20 days prior. He presented with pain and swelling in his right lower jaw. Physical examination revealed a laceration on the right eyebrow that was healing, subconjunctival hemorrhage on the right side, and loss of the malar prominence on the right side. Radiological investigations showed a zygomatic complex fracture and mandibular angle fracture on the right side. The treatment plan was for open reduction and internal fixation surgery to repair the fractures.

1. CASE PRESENTATION
TRAUMA
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PRESENTED BY
Dr. RAHUL TIWARI
2ND YEAR MDS - PG Student
DEPT. OF ORAL & MAXILLOFACIAL SURGERY
SIBAR INSTITUTE OF DENTAL SCIENCES

2. PRELIMNARY DATA
 Patient name – MANDADAPU BALU Date – 10/10/2015
 Age / sex – 22/M O.P.No. – 748390
 Occupation – AUTO DRIVER Religion – HINDU
 Marital status – UNMARRIED Blood group –A+VE
 Date of birth – Socioeconomic status –
 Address – BATLUR, SATENAPALLI,
MANDLAM, GUNTUR Contact no. –07799482662
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3. PATIENT CHIEF COMPLAINT
 Patient complains of pain in the right lower jaw region since 20 days
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4. HISTORY OF PRESENT ILLNESS
 Patient had an trauma with bike 20 day back
 Swelling and pain in right lower jaw
 No h/o unconsciousness, epistaxis or ototaxis
 Laceration seen on right eyebrow region
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5. HISTORY
 Past Medical History – no relevant history
 Past Dental History – no relevant history
 Family History – no relevant history
 Personal History – no relevant history
 Drug History - no relevant history
 Pre-natal History Birth History – no relevant history
 Post Natal History – no relevant history
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6. GENERAL PHYSICAL EXAMINATION
 Height – 5’10” Weight – 63 kg
 Gait – NAD Built – average
 Nourishment – fair Signs of Clubbing – no
 Pulse – 80b/min Resp. Rate – 20c/min
 Blood Pressure- 126/78 mm of hg Temperature – afebrile
 Body Mass Index – P.I.C.K.L.E. - absent
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7. INSPECTION 7

8. OCCLUSION
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9. EXTRA ORAL EXAMINATION
 Laceration in scar stage are seen on right side of the face.
 Sub conjuctival heamorrhage on right side
 Loss of malar prominence on right side
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10. INTRA ORAL EXAMINATION
 Angles class I molar relation
 Mild swelling seen in vestibular region in relation with 15 16 17
 Pain and tenderness in right molar region.
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11. INVESTIGATIONS- RADIOLOGICAL 11

12. INVESTIGATIONS- RADIOLOGICAL 12

13. DIAGNOSIS
 Zygomatic complex fracture and mandibular angle fracture on right side.
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14. TREATEMENT PLAN
 Open reduction and internal fixation
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15. SURGERY- INCISION
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16. SURGERY- FIXATION 16

17. SURGERY- CLOSURE
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18. THANK YOU FOR YOUR PATIENCE
LISTENING
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