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Mandibular fractures in the pediatric patient
M B Siegel1, R F Wetmore, W P Potsic
1Department of Otolaryngology, Children's Hospital of Philadelphia, PA 19104.
Archives of Otolaryngology--Head & Neck Surgery
|May 1, 1991
Summary
Pediatric mandibular fractures are more common in older males and can result from child abuse. Conservative treatment is often successful due to the jawbone
Area of Science:
- Pediatric Orthopedics
- Craniofacial Surgery
- Child Health
Background:
- Mandibular fractures in children present unique challenges due to developing bone structure.
- Understanding age-related patterns and causes is crucial for effective management.
Purpose of the Study:
- To analyze the characteristics of pediatric mandibular fractures.
- To identify trends in fracture incidence, demographics, and etiology.
- To evaluate treatment outcomes and complication rates.
Main Methods:
- Retrospective review of 73 pediatric patients diagnosed with mandibular fractures.
- Data collected between January 1979 and June 1989.
- Patients categorized into three age groups based on mandibular and dental development.
Main Results:
- Fracture incidence and male predominance increased with age.
- Child abuse was a significant cause across all age groups.
- Associated injuries were more frequent in younger children, except in abuse cases.
- Conservative management achieved success in 25% of younger patients.
Conclusions:
- Pediatric mandibular fractures exhibit age- and sex-related trends.
- Child abuse is a critical etiological factor requiring consideration.
- The high healing capacity of pediatric mandibles supports conservative approaches and results in low complication rates.