Have patient bite on tongue blade and twist it
If mandibular fracture present patient should reflexively open mouth (cannot break blade)
Sn 95%, Sp 65%
If mandibular fracture present patient should reflexively open mouth (cannot break blade)
Sn 95%, Sp 65%
Sn 95%, Sp 65%
Test for inferior alveolar and mental nerve injury
Intraoral exam to rule-out:
Sublingual hematoma (suggestive of occult<unk> 
Dental or alveolar ridge fracture
Condyle injury test
Place finger into external auditory canal and have patient open and close mouth
Check Stenson's duct for bleeding
Sublingual hematoma (suggestive of occult<unk> 
Dental or alveolar ridge fracture
Place finger into external auditory canal and have patient open and close mouth
If high-risk (e.g. positive bite-test)
Panorex is initial imaging study of choice (if available)
CT face or mandible if:
Suspected condyle fracture
Complex fracture
Multiple facial fractures
Suspected condyle fracture
Complex fracture
Multiple facial fractures
Mandible fracture
Ears
Forearm fracture 
Auricular hematoma
Forearm fracture
Nose
Mandible dislocation
Nasal fracture