- Oblique mid-mandibular fracture to the right, with a fracture at inter-mandibular symphysis.
- Polytrauma to the head, with multiple fractures at the temporo-mandibular articulation, skull, zygomatic arch, frontal sinus, ethmoid, and nasal septum.
- There was presence of blood in the left frontal sinus and in the right nasal cavity.
All these lesions can only be caused by a severe trauma to the head. The official radiologic report will be sent to you as soon as obtained.
Surgical Treatment report:
A cerclage was put to immobilize the fracture at the intermandibular symphysis. An external fixator was put to reduce the mid-mandibular fracture. It was impossible to put a cerclage because there were some mandibular fragments, and all the plates were too big for the mandible. There was a lot of fibrous tissues, indicating that the fracture was old, at least two weeks.
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So, Noah has to wear an elizabethan collar for at least a month, and be fed through the gastric tube several times a day until his external fixator is removed (in a month).
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