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Pediatric mandibular fractures treated by rigid internal fixation
Journal (Canadian Dental Association)
|September 1, 1993
Summary
Pediatric mandibular fractures are rare. Rigid internal fixation with miniplates and screws allows immediate jaw mobilization, avoiding traditional concerns with maxillomandibular fixation in children.
Area of Science:
- Oral and Maxillofacial Surgery
- Pediatric Traumatology
- Orthodontics
Background:
- Mandibular fractures in children are infrequent and present unique treatment challenges.
- Traditional conservative management or closed reduction with maxillomandibular fixation (MMF) can be problematic in young patients due to compliance and nutritional issues.
Observation:
- A five-year-old child sustained bilateral mandibular fractures.
- The patient's condition necessitated surgical intervention.
Findings:
- Rigid internal fixation using miniplates and screws was successfully employed to treat the bilateral mandibular fractures.
- This approach enabled immediate jaw mobilization, bypassing the need for MMF.
Implications:
- Rigid internal fixation offers a viable alternative for managing unstable pediatric mandibular fractures.
- This technique potentially improves patient outcomes by allowing early functional recovery and reducing treatment-related complications.