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Minimally Invasive Treatment for Thoracolumbar Burst Fracture Using Sagittal Alignment Screws and A Trauma Reduction Device
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Symphyseal fracture in a three-month-old infant
Amir Labib1, Amir Samir Elbarbary2
1Plastic Surgery Department, Faculty of Medicine, St George's University Hospitals NHS Foundation Trust, London, UK amirlabib2001@gmail.com.
BMJ Case Reports
|December 2, 2021
Summary
Diagnosing rare infant mandibular fractures requires high suspicion. A 3-month-old infant with a symphysis fracture healed well with circummandibular fixation and an acrylic splint, showing normal tooth development.
Area of Science:
- Pediatric surgery
- Oral and maxillofacial surgery
- Infant trauma management
Background:
- Mandibular fractures in infants are uncommon and challenging to diagnose due to subtle clinical signs and limited history.
- Early diagnosis necessitates a high index of suspicion and thorough caregiver history.
- Management options vary from conservative approaches to surgical fixation, each with potential impacts on growth and development.
Observation:
- This case study focuses on a 3-month-old male infant presenting with a mandibular symphysis fracture.
- The infant underwent surgical intervention involving fracture reduction and circummandibular fixation.
- Immobilization was achieved using an acrylic splint for a duration of 4 weeks.
Findings:
- The treatment successfully reduced the displaced mandibular fracture.
- Follow-up at 20 months revealed complete healing of the fracture site.
- The infant demonstrated adequate dentition development, indicating no adverse effects on tooth development.
Implications:
- Circummandibular fixation with an acrylic splint is a viable treatment for infant mandibular symphysis fractures.
- This approach allows for anatomical reduction and fixation while minimizing risks to mandibular growth and tooth development.
- Effective management can lead to favorable long-term outcomes, including proper healing and normal dentition.
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