Mandibular symphysis fracture associated with the displacement of a fractured genial segment: An unusual case report with review

• Main Authors: Krishnaveni Buduru, Dalsingh Vankudoth, Darpan Bhargava, Murali Mohan Thota
• Format: Article
• Language: English
• Published: Wolters Kluwer Medknow Publications 2015-01-01
• Series: Journal of Indian Academy of Oral Medicine and Radiology
• Subjects: Fractures; genial tubercle; mandible; unusual fracture
• Online Access: http://www.jiaomr.in/article.asp?issn=0972-1363;year=2015;volume=27;issue=1;spage=119;epage=122;aulast=Buduru
• ISSN: 0972-1363; 0975-1572

Fractures and displacement of fragments involving the genial tubercles due to trauma are rarely seen in patients with a full complement of teeth although spontaneous fractures of the genial tubercles in edentulous atrophic mandible are not uncommon. These are usually displaced and may be missed during routine clinical and radiographic examinations owing to superimposition of the features of a fractured mandible. Very few cases have been reported till date. Their implications lie in functional alterations that occur as a consequence of loss of attachment of the geniohyoid and genioglossus muscles. There is no universal opinion on the treatment of fractures involving the genial tubercles. Possible treatments include no surgical intervention, excision of the avulsed bone fragments, and muscular repositioning. We present a case of mandibular fracture associated with the fracture and displacement of a fragment involving the genial tubercles in a dentate patient where in the finding was incidental and a review of literature.