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Facial trauma - Coggle Diagram

- - - - -Significant soft tissue loss with Inadeqaute coverage
        -non-diplaced fractures
        -edentulous mandible with sufficient bone height and/or splint/denture available (gunning splints)
        -children with developing dentition
        -condylar fractures
        -comminuted fractures (exact opposite)
    - - -COPD/ASTHMA
        -Alcoholism
        -Psych or neurologic problems
        -Retardation
        -Inability to eat
        -Seizures
        -Unfavourable fracture
        -Nausea (severe)
  - - - -Stable base for recon needed (panfacial #)
        -Unfavourable fractures
        -Medically cant do MMF
        -Obviously displaced/otherwise unstable
        -Subluxed (displaced)
    - - -Commination (severe) (see indication for MMF)
        -Healing Issue (steroids, transplant, radiation)
        -Infections (gross)
        -No soft tissue to cover defect (see Indication for MMF)
- - - - -Foreign body
        -Inability to get occlusion after closed reduction (1 week)
        -Lateral extracapsular deviation of condyle
        -Middle cranial fossa displaced condyle
        -Open fracture with potential fibrosis
  - - - Split condylar head
        Intracapsular #
        Risk of devascularization of the condyle with ORIF
        Severe comminuted condyle