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Mandibular fracture in a neonate.
V Gopalakrishnan1, N K Sahoo2, I D Roy2
13 Corps Dental Unit, Dimapur, Nagaland, India.
International Journal of Oral and Maxillofacial Surgery
|September 6, 2016
Summary
Neonatal mandibular fractures are rare, often caused by trauma. This case highlights successful management of a displaced mandibular symphysis fracture in a 1-day-old infant using local anesthesia and splinting.
Area of Science:
- Neonatal care
- Pediatric surgery
- Oral and maxillofacial surgery
Background:
- Mandibular fractures in newborns are uncommon, posing diagnostic and treatment challenges due to facial edema and lack of teeth.
- Etiological factors include traumatic delivery, falls, accidents, and infanticide.
Observation:
- A 1-day-old infant presented with suspected oral trauma after blood-stained secretions were noted during suctioning.
- Clinical examination and diagnosis revealed a displaced fracture of the mandibular symphysis.
Findings:
- The mandibular fracture was successfully reduced under local anesthesia with sedation.
- Stabilization was achieved using an acrylic splint secured with circum-mandibular wiring.
Implications:
- This case demonstrates a viable treatment approach for neonatal mandibular fractures.
- Effective management ensures satisfactory healing and functional outcomes in neonates with such injuries.
