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Neonatal mandibular fractures: a scoping review
J H T Sng1, Y Zhang1, K Z Ong2
1Discipline of Oral and Maxillofacial Surgery, Faculty of Dentistry, National University of Singapore, National University Centre for Oral Health, Singapore.
Neonatal mandibular fractures (NMF) are rare but require specific care. This review highlights birth trauma as a cause and discusses various treatments, emphasizing the need for more research on long-term effects.
Area of Science:
- Pediatric Surgery
- Oral and Maxillofacial Surgery
- Neonatal Care
Background:
- Neonatal mandibular fractures (NMF) are uncommon but present unique clinical challenges.
- Trauma during birth is a significant, though infrequent, cause of NMF.
Purpose of the Study:
- To conduct a scoping review of neonatal mandibular fractures (NMF).
- To analyze reported cases, treatment modalities, and outcomes of NMF.
Main Methods:
- A comprehensive scoping review adhering to PRISMA-ScR guidelines.
- Searched PubMed, Embase, Cochrane Library, Scopus, and Web of Science (1990-March 2025).
- Included studies reporting NMF in neonates (<28 days), with descriptive analysis.
Main Results:
- Seven articles detailing seven NMF cases were identified.
- Four cases were linked to birth trauma (forceps delivery, abnormal fetal position).
- Varied treatments (open/closed reduction) and complications were reported.
Conclusions:
- Further research is needed to understand the link between NMF and birth trauma, including delivery methods and fetal positioning.
- Long-term follow-up is crucial to assess the impact of NMF and its management on facial growth and dentition development.
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