Background: Mandibular fractures are often treated with open reduction and internal fixation in order to restore function and anatomy. This study analyzes postoperative complications and outcomes over one year at a high-volume teaching hospital, focusing on fracture types, treatment methods, and the impact of providers’ experience. Methods: This retrospective study included patients 12 years of age or older with mandibular fractures resulting from trauma during a 1-year period, January–December 2022 in a level 1 trauma center. Medical records were reviewed, and patient data was collected. Patients were categorized into 3 groups: Group 1 (surgical treatment), Group 2 (closed treatment, i.e., dental splints, arch bars/eyelets), and Group 3 (observation/soft diet). The results were tabulated, and standard descriptive statistics were used. Results: 141 patients with 223 mandibular fractures met inclusion criteria. Throughout all groups, 18 surgically treated patients (12.7%) and one patient treated with arch bars (0.07%) required additional unintended surgical procedure such as plate removal with/without re-plating, or orthognathic surgery for occlusal correction. Conclusions: The complication rates in this cohort align with the existing literature, though variations may origin from limited sample size, short follow-up and patient comorbidities. The involvement of less experienced surgeons during on-call hours most likely contributed to outcome variability. Despite challenges, most patients had favorable outcomes.

Immunoglobulin G4-related disease (IgG4-RD) is an immune-mediated fibroinflammatory condition that can affect multiple organs. IgG4-RD may show a variety of initial symptoms. In the oral mucosa, lesions present as inflammatory fibrosis with a large number of IgG4-positive plasma cells. Evaluating treatment is a well-known problem in IgG4-RD due to the absence of an established assessment system. There are difficulties in defining the severity of the disease, which is why treatment is primarily based on its clinical manifestations. We present a case report of localized IgG4-RD with ulcerative and proliferative manifestations on the tongue, which clinically mimicked oral squamous cell carcinoma. A tumor-like lesion on the tongue can indicate something else other than the malignant or reactive changes commonly found in the oral mucosa. Multiple differential diagnoses of these atypical oral lesions, including localized IgG4-RD, should be considered.

Background: Oral squamous cell carcinoma is the main malignancy of the oral cavity; floor of the mouth and the lateral border of the tongue being the most affected sites. This kind of oral neoplasms may require mandibular resection and reconstruction. Treatment options for such mandibular defects include bone grafts, free flaps, and reconstruction plates. Today, the commonly used treatment method is vascularized fibula flaps due to its many advantages when compared to other methods. However, it is a complex procedure and demands much of both practitioners and the patient. Case Presentation: In this report, we present a case of oral squamous cell carcinoma of the gingiva of the mandible which was treated with a partial mandibulectomy and resection. Because of the patients age and fragility an immediate mandibular reconstruction with a pre-shaped reconstruction plate, without hard or soft tissue transfer, was performed. Yearly controls showed pleasing results both aesthetically and functionally and the patient showed no plate-related complications up until the patient’s death, 9 years later. Conclusion: With this case, we would like to illustrate that using reconstruction plates only may be a viable option in selected cases for continuity defects of the mandible, specifically in fragile patients less suitable for more demanding surgical interventions.