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Published on: September 27, 2024
Comminuted mandibular fracture in child victim of dog bite
Matheus Furtado de Carvalho1, Luiz Augusto Paixão Hardtke, Max Filipe Cota de Souza
1Department of Oral and Maxillofacial Surgery, Joao XXIII Hospital, Belo Horizonte, Brazil. matcarodonto@yahoo.com.br
Abstract:
Dog bites represent lesions commonly found in Hospital Emergency Clinic. This type of lesion may cause severe harm to patients, but it rarely affects the underlying bone structure causes facial fracture. This study aims to illustrate a rare clinical case in which a pediatric patient presented a comminuted fracture in the mandible which evolved into a unilateral avulsion of the mandibular condyle, body fractures as well as a mandibular ramus and hemiface that had been deformed, with multiple lacerations and loss of soft-tissue mass. Intermaxillary fixation was performed using the Ivy method, followed by internal rigid fixation using miniplates and screws in attempt to reconstruct the child's mandible. After 2 years of follow-up, a satisfactory esthetics and functional results could be observed.
