Mandibular fracture manipulation and management of its post-manipulation conditions from the perspective of Ālī ibn Ābbas al-Mājūsī.

Abstract

Background: Historical descriptions of mandibular fracture treatment inform the evolution of maxillofacial surgery. Ālī ibn Ābbas al-Mājūsī's Kāmil al-Ṣinā'at al-Ṭibbīyah includes practical maneuvers for mandibular fractures not widely summarized in modern literature.

Method: This is a textual and interpretive analysis of Kāmil al-Ṣinā'at al-Ṭibbīyah by Ālī ibn Ābbas al-Mājūsī, focusing on the chapter devoted exclusively to the management of mandibular fractures. To conduct this research, a version of the author's original language (Arabic) was used, and finally, to clarify the proposed maneuvers in the treatment of Mandibular fracture, interpretive anatomical reconstruction was performed using craniofacial moulage models and detailed images were recorded by the authors. The recommended medications, therapeutic and post-therapeutic measures were accurately extracted from the source under study and categorized in specific tables.

Result: Close reading of al-Mājūsī's surgical chapter reveals two principal maneuvers: closed realignment for non-displaced fractures and transcutaneous/head-wrap traction with dental wiring or silk fixation for displaced fractures. Post-reduction care (immobilization, diet, topical compresses) and an asserted ∼20-day healing period are described; specific medicinal applications to reduce swelling are listed.

Conclusions: Al-Mājūsī's techniques show continuity with earlier Greco-Roman practices and offer historical insight into non-invasive fracture management and immobilization methods relevant for understanding the roots of modern mandibular trauma care.