Managing a patient with pain and facial swelling

A 32 year old man presented to the emergency department with trismus and a painful swollen right side of his face. He was intoxicated and unable to provide a clear history, but he mentioned an argument in the pub. A radiograph of the area was requested (fig 1). Fig 1 Posteroanterior mandible radiograph 1. What is the diagnosis? 2. What signs may be related to this diagnosis? 3. How would you manage this initially? ### 1. What is the diagnosis? Fracture of the right para-symphysis and left condyle of the mandible. The …