Mandibular Fractures In Children Under 3 Years: A Rare Case Report

Mandibular fractures in children are relatively rare, not only by their anatomical and physiological aspects, but also by their social factor, which makes this group less exposed to high-impact trauma. Thus, the specific pediatric treatment, through a minimally invasive approach should also be established, avoiding future functional disorders. In our case, a female patient, a 3-year-old accident victim was affected by a domestic symphysis fracture and bilateral mandibular condyle. Surgical treatment of fractures of the mandibular symphysis was performed two days after the trauma, under general anesthesia for reduction and fixation, employing a 1.5 titanium plate system in the midline of the mandibular symphysis. The condylar fractures were treated conservatively, immediately using gruel and oral therapy to avoid complications such as temporomandibular joint ankylosis. The patient has been followed up by our staff and has no restriction in mandibular movements and no limitation of mouth opening. © 2012 Sociedade Portuguesa de Estomatologia e Medicina Dentária.543166170Amaratunga, N.A., Mandibular fractures in children - a study of clinical aspects, treatment needs, and complications (1988) J Oral Maxillofac Surg, 46, pp. 637-640Anderson, P.J., Fractures of the facial skeleton in children (1995) Injury, 26, pp. 47-50Ferreira, P.C., Amarante, J.M., Silva, A.C., Pereira, J.M., Cardoso, M.A., Rodrigues, J.M., Etiology and patterns of pediatric mandibular fractures in Portugal: a retrospective study of 10 years (2004) J Craniofac Surg, 15, pp. 384-391Qadri, G.W., Mokhtar, S.M., Paediatric mandibular fractures: report of a case (2008) Dent Traumatol, 24, pp. e67-e70Miloro, M., (2004) Peterson's principles of oral and maxillofacial surgery, pp. 527-545. , Decker, Inc., Hamilton, DCDemianczuk, A.N., Verchere, C., Phillips, J.H., The effect on facial growth of pediatric mandible fractures (1999) J Craniofac Surg, 10, pp. 323-328Ferreira, P.C., Amarante, J.M., Silva, P.N., Rodrigues, J.M., Choupina, M.P., Silva, A.C., Retrospective study of 1251 maxillofacial fractures in children and adolescents (2005) Plast Reconstr Surg, 115, pp. 1500-1508Lida, S., Matsuya, T., Paediatric maxillofacial fractures: their etiological characters and fracture patterns (2002) J Craniomaxillofac Surg, 30, pp. 237-241Luhr, H.G., On the stable osteosynthesis in mandibular fractures (1968) Dtsch Zahnarztl Z, 23, p. 754. , [in German]Haug, R.H., Foss, J., Maxillofacial injuries in the pediatric patient (2000) Oral Surg Oral Med Oral Pathol Oral Radiol End, 90, pp. 126-134Atilgan, S., Erol, B., Yaman, F., Yilmaz, N., Ucan, M.C., Mandibular fractures: a comparative analysis between young and adult patients in the southeast region of Turkey (2010) J Appl Oral Sci, 18, pp. 17-22Davison, P.S., Clifton, M.S., Davison, M.N., Hedrick, M., Sotereanos, G., Pediatric mandibular fractures: a free hand technique (2001) Arch Facial Plast Surg, 3, pp. 185-189Zimmermann, C.E., Troulis, M.J., Kaban, L.B., Pediatric facial fractures: recent advances in prevention, diagnosis and management (2006) Int J Oral Maxillofac Surg, 35, pp. 2-13Cole, P., Kaufman, Y., Izaddoost, S., Hatef, D.A., Hollier, L., Principles of pediatric mandibular fracture management (2009) Plast Reconstr Surg, 123, pp. 1022-1024Posnick, J.C., Management of facial fractures in children and adolescents (1994) Ann Plast Surg, 33, pp. 442-457Bos, R.R., Treatment of pediatric facial fractures: the case for metallic fixation (2005) J Oral Maxillofac Surg, 63, pp. 382-384Kaban, L.B., Mulliken, J.B., Murray, J.E., Facial fractures in children: an analysis of 122 fractures in 109 patients (1977) Plast Reconst Surg, 59, pp. 15-20Landes, C.A., Day, K., Glasl, B., Ludwig, B., Sader, R., Kovacs, A.F., Prospective evaluation of closed treatment of nondisplaced and nondislocated mandibular condyle fractures versus open reposition and rigid fixation of displaced and dislocated fractures in children (2008) J Oral Maxillofac Surg, 66, pp. 1184-1193Norholt, S.E., Krishan, V., Sindet-Pedersen, S., Jensen, I., Pediatric condylar fractures: a long-term follow-up study of 55 patients (1993) J Oral Maxillofac Surg, 51, pp. 1302-1310Chuong, R., Piper, M.A., Open reduction of condylar fractures of the mandible in conjunction with repair of discal injury: a preliminary report (1988) J Oral Maxillofac Surg, 46, pp. 257-26