Immediate Treatment of Complex Mandible Fracture in a Pediatric Patient

Colombo, Luara Teixeira; Silva, Raquel Barroso Parra da; Mulinari‐Santos, Gabriel; Silva, Leonardo Freitas da; Fábris, André Luís da Silva; Souza, Francisley Ávila

doi:10.1097/scs.0000000000004666

Cited by 2 publications

(1 citation statement)

References 6 publications

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“…Embora as controvérsias de que o tratamento invasivo apresente limitações como a possibilidade de danificar os germes dentários e causar restrições de crescimento secundárias à fixação rígida, fraturas quando tratadas inadequadamente podem afetar a oclusão e o desenvolvimento mandibular e alveolar da mandíbula a longo prazo podendo resultar em uma maior incidência de cirurgia ortognática corretiva após maturidade esquelética (13,26). Desse modo, as considerações sobre o tratamento em crianças devem equilibrar as consequências de um tratamento mais invasivo com as do tratamento conservador inapropriado (12).…”

Section: Discussionunclassified

Trauma de face no paciente pediátrico: relato de casos

Otaviano¹,

Júnior²,

Érnica³

et al. 2023

Braz. J. Hea. Rev.

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Em meio aos traumas que acometem a região facial, as fraturas faciais pediátricas são incomuns quando comparado aos adultos, não somente pelos aspectos anatômicos e fisiológicos, bem como por fatores sociais, o que os torna exposto a traumas de alto impacto durante a primeira infância. As fraturas de mandíbula são as mais comuns, aproximadamente metade das fraturas faciais, incluem o osso mandibular. O manejo do trauma maxilofacial nessa população além de controverso, é particularmente desafiador pois deve ser determinado a partir de diversos fatores. Para tanto se faz fundamental e imprescindível compreender e esquematizar as evidências científicas que envolvem esse assunto afim de selecionar a melhor terapia e gerenciar tais lesões. Desse modo, o presente trabalho tem por objetivo relatar uma série de casos de trauma de face no paciente pediátrico empregando tratamento cirúrgico por meio do sistema de fixação não-absorvível (titânio). Acreditamos que independente da terapia, o objetivo principal deve ser o reestabelecimento da função, estética e anatomia da área afetada sem prejudicar o crescimento fisiológico. Além disso, é imprescindível o acompanhamento a longo prazo a fim de prevenir complicações.

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Section: Discussionunclassified

Trauma de face no paciente pediátrico: relato de casos

Otaviano¹,

Júnior²,

Érnica³

et al. 2023

Braz. J. Hea. Rev.

View full text Add to dashboard Cite

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Managing Isolated Symphyseal and Parasymphyseal Fractures in Pediatric Patients

Yesantharao

Lopez

Reátegui

et al. 2020

Journal of Craniofacial Surgery

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Background: Isolated symphyseal or parasymphyseal mandibular fractures can confer significant morbidity in children. However, this mandibular injury pattern has not been well-characterized in children. This study investigated isolated symphyseal/parasymphyseal mandibular fractures in pediatric patients. Methods: This was a 29-year retrospective, longitudinal cohort study of pediatric patients who presented to a single institution with isolated symphyseal/parasymphyseal mandibular fractures. Patient data were abstracted from medical records and compared between patients of varying dentition stages. Results: Fourteen patients met inclusion criteria during the study period, of whom 2 (14.3%) had deciduous dentition, 7 (50.0%) had mixed dentition, and 5 (35.7%) had permanent dentition. Patients with deciduous dentition were significantly more likely to receive soft diet or closed treatment with mandibulomaxillary fixation than open reduction and internal fixation when compared to patients with mixed or permanent dentition (p = 0.04). The post-treatment complication rate was 40% among all patients treated with open reduction and internal fixation, 16.7% among patients who underwent closed treatment with mandibulomaxillary fixation, and 75% amongst patients treated with soft diet (though 2 patients who received soft diet had permanent dentition and thus were inappropriately managed). The most common complication overall was malocclusion (20%). A treatment algorithm was proposed based on study data; adherence to the algorithm significantly decreased odds of complications (odds ratio: 0.03, 95% confidence interval:0.001–0.6). Conclusions: The etiology, management, and outcomes of children with isolated symphyseal or parasymphyseal mandibular fractures at our institution varied by dentition stage. The authors proposed a treatment algorithm in order to optimize outcomes of symphyseal/parasymphyseal mandibular fractures in this patient population.

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Immediate Treatment of Complex Mandible Fracture in a Pediatric Patient

Cited by 2 publications

References 6 publications

Trauma de face no paciente pediátrico: relato de casos

Trauma de face no paciente pediátrico: relato de casos

Managing Isolated Symphyseal and Parasymphyseal Fractures in Pediatric Patients

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