Expanding hematoma with facial nerve palsy: an unusual complication of mandibular fracture


  • Neetu Bajaj Department of ENT, Bundelkhand Medical College, Sagar, Madhya Pradesh, India
  • Shivam Singh Department of ENT, Bundelkhand Medical College, Sagar, Madhya Pradesh, India
  • Shweta Bhatnagar Department of Dentistry, Bundelkhand Medical College, Sagar, Madhya Pradesh, India




Hematoma, Mandible fracture, Facial nerve paresis, ORIF


The mandible is one of the most commonly fractured facial bones, along with the nasal and zygomatic bones. The most common cause of fracture is trauma, such as a motor vehicle accident, a physical altercation, an industrial accident, a fall, or a contact sport injury. Because of its position and the complex anatomy and environment surrounding it, the mandible is extremely vulnerable and often breaks when a traumatic injury is made to the face. Complications of mandible fractures can range from 7 to 29%, depending on the severity of the injury, the location of the injury, and the number of areas affected. The most frequently encountered complications include infection, hardware failure, osteomyelitis, non-union, mal-union, and wound dehiscence. Here, we report an unusual complication of an expanding hematoma with left sided facial nerve paresis that resulted after 2 months of mandible fracture.


Barry E. Zweig. Complications of Mandibular Fractures, Atlas Oral Maxillofacial Surg Clin N Am. 2019;7:93-101.

Jin KS, Lee H, Sohn JB, Han YS, Jung DU, Sim HY, Kim HS. Fracture patterns and causes in the craniofacial region: an 8-year review of 2076 patients. Maxillofac Plast Reconstr Surg. 2018;40(1):29.

Pickrell BB, Serebrakian AT, Renata S. Maricevich. Mandible fractures. Semin Plast Surg. 2017;31(2):100-7.

Cillo JE and Holmes TM. Interpersonal violence is associated with increased severity of geriatric facial trauma. J Oral Maxillofac Surg. 2016;74:1023.

Bradley JC. A radiological investigation into the age changes of the inferior dental artery. Br J Oral Surg. 1975;13:82.

Benech A. Intraoral extra-mucosal fixation of fractures in the atrophic edentulous mandible. Int J Oral Maxillofac Surg. 2013;42:460-3.

Wood GA. Transmucosal fixation of the fractured edentulous mandible. Int J Oral Maxillofac Surg. 2011;40:549-52.

Bochlogyros PN. Non-union of fractures of the mandible. J Maxillofac Surg. 1985;13:189.

Ardekian L, Samet N, Shoshani Y. Life-threatening bleeding following maxillofacial trauma. J Craniomaxillofac Surg. 1993;21:336.






Case Reports