Andy Gump

Andy Gump

A popular term for a patient with a mini-mandible due to various causes.
 
Management
Use fibula as a donor for microsurgical jaw reconstruction.

Andy Gump appearance
• Congenital, as seen in Pierre-Robin deformity and in otocephaly; in the latter, the mandibular hypoplasia and associated deformities are incompatible with extrauterine life. 
• Post-surgical—Resection of the upper mandible as part of aggressive surgery in cancer of the floor of the mouth. 
• Post-traumatic—A fracture unique to elderly edentulous subjects, in which there is posterior mandibular displacement and airway obstruction, thus known as an “Andy Gump fracture”.