Teaching image withheldThe image will be revealed when it becomes clinically available in the case.
Coronal CT image from diagnostic maxillofacial imaging demonstrating a displaced mandibular fracture involving the left mandibular body/angle region, with adjacent soft-tissue injury. • TEACHING IMAGE
Facial Trauma After a Bar Fight: Mandibular Fracture
SCENARIO
A 29-year-old man is brought to the emergency department after being repeatedly punched in the face during a bar fight. He is alert, speaking clearly, and breathing without difficulty. Initial assessment shows no stridor, expanding neck hematoma, or uncontrolled oral bleeding. He has facial swelling, malocclusion, pain with jaw movement, and a small intraoral laceration. Analgesia is provided, and cervical-spine precautions are maintained until examination is reassuring. Because he remains hemodynamically stable and has focal mandibular tenderness with malocclusion, diagnostic CT of the maxillofacial bones is obtained. The uploaded coronal CT image is now available for review.