The Isolated Ramus Fracture of The Mandible: A Rare Entity

Authors

  • Dr. Punam Nagargoje Reader in Department of Oral and Maxillofacial Surgery, in Maharashtra Institute of Dental Sciences and Research (Dental college) Latur.
  • Dr. Govind Changule Reader in Department of Oral and Maxillofacial Surgery, in Maharashtra Institute of Dental Sciences and Research (Dental college) Latur.
  • Dr. Laxmi Yogi Resident in Department of Oral and Maxillofacial Surgery, in Maharashtra Institute of Dental Sciences and Research (Dental college) Latur.
  • Dr. Janhavee Hote Resident in Department of Oral and Maxillofacial Surgery, in Maharashtra Institute of Dental Sciences and Research (Dental college) Latur.
  • Dr. Anjali Vashisth Resident in Department of Oral and Maxillofacial Surgery, in Maharashtra Institute of Dental Sciences and Research (Dental college) Latur.
  • Dr. Rutwik Khandare Resident in Department of Oral and Maxillofacial Surgery, in Maharashtra Institute of Dental Sciences and Research (Dental college) Latur.

Keywords:

Oblique fracture, Ramus, Fixation, 3D miniplate

Abstract

In the facial region, mandibular fractures are relatively prevalent. Ramus fractures rank as one of the least common fractures of the mandible, which account for about 1-3% of all mandibular fractures. Because of the mandible's robustness and anatomical structure in this area, oblique fractures of the mandibular ramus are comparatively rare. This case report describes the clinical presentation, diagnostic evaluation, and management of an oblique ramus fracture in a 28-year-old male following a trauma. Surgical intervention and fixation were performed using 3D miniplate, with favourable outcomes. The discussion highlights the challenges in diagnosis and fixation of oblique ramus fractures due to their anatomical and biomechanical considerations.

References

Fonseca RJ, Walker RV, Betts NJ, et al. Oral and maxillofacial trauma (2nd ed). Philadelphia, PA, Saunders 1997;1:251

Dr. Bibhu Prasad Mishra, Dr. Hani Yousuf Naik, Dr. Smriti Kumari, Dr. Ambika Luthra, “Mandibular Ramus Fracture and Treatment Planning: A Review”, IJDSIR- August - 2020, Vol. – 3, Issue -4, P. No. 01 05.

Pawar S S, Bhola N D, Agarwal A (October 19, 2022) Mandibular Ramus Fractures: A Case Series of Diversity in Rarity. Cureus 14(10).

Jadhav, Anendd, Mundada, Bhushan, Deshmukh, Rahul, Bhutekar, Umesh, Kala, Atul, Waghwani, Kapil, Mishra, Apoorva, Mandibular Ramus Fracture: An Overview of Rare Anatomical Subsite, Plastic Surgery International, 2015, 954314, 5 pages, 2015.

Kale TP, Kotrashetti SM, Louis A, Lingaraj JB, Sarvesh BU: Mandibular ramus fractures: a rarity. J Contemp Dent Pract. 2013, 14:39-42

Agarwal P, Mehrotra D: Mandibular ramus fractures: a proposed classification. Craniomaxillofac Trauma Reconstr. 2020, 13:9-14.

Koshy JC, Feldman EM, Chike-Obi CJ, Bullocks JM: Pearls of mandibular trauma management. Semin Plast Surg. 2010, 24:357-74.

El-Anwar MW: Changing trends in the treatment of mandibular fracture. Int Arch Otorhinolaryngol. 2018, 22:195-6

Olson RA, Fonseca RJ, Zeitler DZ, Osbon DB. Fractures of the mandible. A review of 580 cases. J Oral Maxillofac Surg 1982;40:23-28.

Nardi C, Vignoli C, Pietragalla M, et al.: Imaging of mandibular fractures: a pictorial review. Insights Imaging. 2020, 11:30.

Manoj Kumar et al, Rare Mandibular Ramus Fracture, Ann Maxillofac Surg 2018;8:171-3.

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Published

2025-09-15