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Mandible fracture causes vary by the time period and the region studied. In North America, blunt force trauma (a punch) is the leading cause of mandible fracture [37] whereas in India, motor vehicle collisions are now a leading cause. [38] On battle grounds, it is more likely to be high velocity injuries (bullets and shrapnel). [39]
A skull fracture is a break in one or more of the eight bones that form the cranial portion of the skull, usually occurring as a result of blunt force trauma.If the force of the impact is excessive, the bone may fracture at or near the site of the impact and cause damage to the underlying structures within the skull such as the membranes, blood vessels, and brain.
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The facial skeleton comprises the facial bones that may attach to build a portion of the skull. [1] The remainder of the skull is the neurocranium.. In human anatomy and development, the facial skeleton is sometimes called the membranous viscerocranium, which comprises the mandible and dermatocranial elements that are not part of the braincase.
The mandible may be fractured at its symphysis, body, angle, ramus, and condyle. [4] The zygoma (cheekbone) and the frontal bone (forehead) are other sites for fractures. [13] Fractures may also occur in the bones of the palate and those that come together to form the orbit of the eye.
A fracture through the sella can lead to profuse blood aspiration. A common mechanism for transverse fractures is a sharp blow to the chin, such as a fall onto a hard surface. The impact energy transfers to the skull base via the mandibular rami and temporomandibular joints. The chin injury may appear minor, often just a small abrasion or ...
When the lower jaw is pushed anteriorly as far as possible with some teeth in contact, it is said to be maximum protrusion. In Posselt's border movement diagram, maximum protrusion is the most anterior based on the sagittal view. Condyles are in the most anterior position and determined partly by stylomandibular ligaments. [8]
The spinal cord is an extension of the brain. The spinal cord and the brain stem are joined at the base of the cranium at the foramen magnum. Most of the functions of the head and neck are directly influenced by the brain and transmitted to the PNS via the cranial nerves and spinal nerves of the cervical portion of the spine.