Management of Comminuted Mandibular Fracture Due to Ballistic Trauma Using External Fixation and Osteosynthesis Plates: Case Report and Literature Review

• Autores: Pampin López, Francisco, Sanhueza Olea, Víctor, Echeverry aponte, Vicente, Henríquez Avendaño, Arturo, Salvador Banda, Isidora, Bustos Ponce, Alexis
• Formato: artículo
• Fecha de Publicación: 2025
• Institución: Universidad Peruana Cayetano Heredia
• Repositorio: Revistas - Universidad Peruana Cayetano Heredia
• Lenguaje: español
• OAI Identifier: oai:revistas.upch.edu.pe:article/5912
• Enlace del recurso: https://revistas.upch.edu.pe/index.php/RMH/article/view/5912
• Nivel de acceso: acceso abierto
• Materia: Fijadores externos; heridas por arma de fuego; cirugía bucal; External fixators; gunshot wounds; oral surgery

Mandibular fractures requiring surgical management are typically treated with rigid internal fixation using osteosynthetic plates. However, in cases without viable segments for fixation, external fixation is a viable alternative. This case reports a transgender male patient with multiple gunshot wounds and a comminuted mandibular fracture. Imaging revealed severe comminution. Surgical management included external fixators and a rigid fixation plate on the mandibular lower border. This method allowed proper fracture reduction, mandibular contour restoration, and acceptable occlusion, proving to be a viable treatment option for such fractures.