Management of mandibular fracture in pediatric patient

Nezam, Sumaiya; Kumar, Arvind; Shukla, Jeevendra Nath; Khan, Shabab Ahmed

doi:10.4103/njms.njms_54_17

Cited by 15 publications

(13 citation statements)

References 10 publications

(8 reference statements)

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“…In adult, absolute reduction and fixation are needed, meanwhile minimal invasive management in children is recommended. 9,10 There are several approaches to do the management of parasymphysis and anguls mandible fracture in children such as open reduction and closed reduction according to the type of fracture. Evaluating mobility and continuity of the bone should be done before determine the treatment plan.…”

Section: Discussionmentioning

confidence: 99%

Management of mandibular fracture and lacerated wound due to machete trauma in children: case report

Oktora

Oli’i²,

Maifara³

2023

IJMBS

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Introduction: The facial fractures in pediatric patients are rare, and they need an immediate treatment to recover the function and aesthetic to the young patients. Anatomic reduction along with rigid skeletal stabilization is mandatory until bone union has occurred. Special consideration about variation in anatomy and physiology of pediatric patients, as well as the particular stage of growth and dental development should be preferred. Case report: We present a case of 5 year old girl patient with fractures of the parasymphyseal and left angle of mandible horizontally and vertically unfavourable, with significant displacement and huge lacerated wound of the face caused by machete slashed. We successfully managed the pediatric complex mandible fractures by performing open reduction internal fixation using resorbable miniplates and gunning splint as intermaxillary fixation. Conclusion: Pediatric mandible fractures requiring ORIF are rare. The combination of intermaxillary fixation and resorbable fixation system is needed postoperatively because of the extensive fractures for adequate fixation and good outcomes.

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Section: Discussionmentioning

confidence: 99%

Management of mandibular fracture and lacerated wound due to machete trauma in children: case report

Oktora

Oli’i²,

Maifara³

2023

IJMBS

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“…Due to concerns related to dentition development and mandibular growth, management of pediatric mandibular fractures requires a more conservative approach. 5 Several studies in literature have recommended the use of splints with circummandibular wiring as a viable option for treating pediatric mandibular fractures. [6][7][8] The conventional splint fabrication approach, while being cost effective and providing ease of application and removal, has certain shortcomings such as intensive preoperative laboratory procedures as impressions taking, creation of dental stone models, and finally the fabrication of splints based on dental stone model surgery.…”

Section: Discussionmentioning

confidence: 99%

A Simplified Digital Workflow for the Treatment of Pediatric Mandibular Fractures Using Three-Dimensional (3D) Printed Cap Splint: A Case Report

Chakravarthy

Gupta

Patil

2019

Craniomaxillofacial Trauma & Reconstruction Open

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Pediatric mandibular fracture needs special consideration by clinicians. The management of pediatric mandibular fracture differs from that in adults considering the presence of tooth germs and the potential for mandibular growth. One of the most common forms of conservative management for pediatric mandibular fractures is the use of cap splint along with circummandibular wiring. The conventional workflow prior to performing surgery with this technique is impression taking and dental model fabrication. Additionally, it is also recommended that mock surgery should be performed to achieve proper reduction before acrylic splint fabrication. However, these procedures are effortful and time consuming when performed under general anesthesia during surgery and require additional sedation if performed prior to surgery. The aim of this case report is to describe a simpler preoperative digital workflow for the treatment of pediatric mandibular fractures, in which closed reduction is achieved with a three-dimensional printed cap splint stabilized with circummandibular wiring under general anesthesia.

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“…У дітей переломи ВВНЩ можуть призводити до таких порушень, як відкривання рота, жування, росту та розвитку НЩ, дисфункції та анкілозу скронево-нижньощелепного суглоба, формування патологічного прикус у [5]. Самі ж посттравматичні зубно-щелепні деформації призводять до різного роду захворювань шлунковокишкового тракту, які в період формування і рост у дитячого організму можу ть спричинити розвиток гіпотрофії, а в більш дорослому віці негативно впливають на психічний розвиток і становлення молодої людини як особистості, формуючи в підсвідомості домінанту обтяженої соціалізації в суспільстві [6,8].…”

Section: вступunclassified

X-ray diagnosis of fractures of the condylar process of the lower jaw in children

Yehorov¹,

Efimenko²

2022

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Mandibular fractures are one of the most common and complex types of traumatic injuries of the maxillofacial region in children and account for 18-66% of the total number of facial fractures. Among which, fractures in the area of the condylar processes of the mandible (CP) occur in 25-40% of cases. Purpose - to reveal the radiological features of CP fractures in children and to determine the most informative diagnostic methods. Materials and methods. A retrospective analysis of 25 case histories of children with traumatic fractures of the VGNP aged 4 to 18 years was carried out. The analysis of case histories was carried out according to the developed survey map. Under our supervision there were 25 children with traumatic fractures of CP. The age of children ranged from 4 to 17 years, the average age was 10.04 years (±4.09). All children were divided into groups, among which the largest group consisted of children aged 7-12 years - 52% (n=13) of children. Results. Unilateral fractures were detected in 84% (n=21) and bilateral in 16% (n=4) of children, among them with displacement in 92% (n=23). CP fractures in the region of the head were diagnosed in 36% (n=9), the base in 32% (n=8), the neck in 28% (n=7) and the combination of the base and neck in 4% (n=1). Conclusions. The only method that allows obtaining maximum information about various injuries in the bone structures of the joint is CT and spiral 3D-CT. The latter, in turn, allows you to detail any changes in the bone elements of the temporo-mandibular joint for diagnosis, selection and planning of individual treatment tactics, which reduces the time of surgery and the child's stay under anesthesia. The research was carried out in accordance with the principles of the Helsinki Declaration. The study protocol was approved by the Local Ethics Committee of the participating institution. The informed consent of the patient was obtained for conducting the studies. No conflict of interests was declared by the authors.

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Management of mandibular fracture in pediatric patient

Cited by 15 publications

References 10 publications

Management of mandibular fracture and lacerated wound due to machete trauma in children: case report

Management of mandibular fracture and lacerated wound due to machete trauma in children: case report

A Simplified Digital Workflow for the Treatment of Pediatric Mandibular Fractures Using Three-Dimensional (3D) Printed Cap Splint: A Case Report

X-ray diagnosis of fractures of the condylar process of the lower jaw in children

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