Management of Mandibular Body Fracture in an Eighteen-Month Old Child - A Case Report
With the advancement of the transportation system and improvement in road conditions, the number of high- velocity accidents has also increased. Almost all of these reported cases involve individuals who had travelled in vehicles without adhering to personal protection standards and with rash driving. Injuries to the facial region can be profoundly disturbing and particularly in children. Parents find it very distressing to see their child in pain with a disfigured or injured face. It is difficult to manage such crying & sometimes uncontrollable children. The most commonly injured facial bones are Nasal, Zygomatic and the Mandible. The incidence of facial bone fracture in children is uncommon, and we present a case report of an 18- month old child with a history of road traffic accident and swelling on the right side of the face. Intraoral examination shows limited mouth opening with submucosal ecchymosis in the right buccal mucosa and based on clinical and computed tomographic scan working diagnosis of fracture in the right body of the mandible was arrived. The child was surgically treated with the circum-mandibular wiring. After three weeks the splint was removed. The injury healed without complications in the post-operative period.
2. Yerit KC, Hainich S, Enislidis G, Turhani D, Klug C, Wittwer G, et al. Biodegradable fixation of mandibular fractures in children: stability and early results. Oral surgery, oral medicine, oral pathology, oral radiology. 2005;100(1):17-24.
3. Hegab A. Management of mandibular fractures in children with a split acrylic splint: a case series. The British journal of oral & maxillofacial surgery. 2012;50(6):e93-e95.
4. Anderson PJ, David DJ. Hyperostosis as a late sequel of parasymphyseal mandibular fractures in 2 children. Journal of cranio-maxillo-facial surgery .2005;33(3):188-190.
5. Eggensperger Wymann NM, Holzle A, Zachariou Z, Iizuka T. Pediatric craniofacial trauma. Journal of oral and maxillofacial surgery. 2008;66(1):58-64.
6. Zimmermann CE, Troulis MJ, Kaban LB. Pediatric facial fractures: recent advances in prevention, diagnosis and management. International Journal of Oral and Maxillofacial Surgery. 2006;34(8):823-833.
7. Choi J, Oh N, Kim IK. A follow-up study of condyle fracture in children. Int J Oral Maxillofac Surg. 2005;34(8):851-858.
8. Zhao YM, Yang J, Bai RC, Ge LH, Zhang Y. A retrospective study of using removable occlusal splint in the treatment of condylar fracture in children. Journal of cranio- maxillo-facial surgery .2012;42(7):1078-1082.
9. Wu Y, Long X, Fang W, Li B, Cheng Y, Deng M, et al. Management of paediatric mandibular condylar fractures with screw-based semi-rigid intermaxillary fixation. Interna- tional Journal of Oral Maxillofacial Surgery. 2012;41(1):55- 60.
This work is licensed under a Creative Commons Attribution 4.0 International License.
- The Faculty of Dentistry, Universiti Malaya holds the copyright of the published manuscript including all its components such as supplementary information, graphical contents and raw data without any restrictions.
- The author grant the Faculty of Dentistry, University of Malaya assignable and sub-licensable right, unlimited in time and territory, to copy-edit, reproduce, publish, distribute, transmit, make available and store the Article, including abstracts thereof, in all forms of media of expression now known or developed in the future, including pre- and reprints, translations, photographic reproductions and extensions.
- After acceptance for publication in Ann Dent UM, the author(s) have the right to use any of its components in whole or in part for academic purposes such as, presentation in scientific conferences and seminars.