Maxillofacial fractures in children

Management of facial fractures in children

Modified closed cap splint: Conservative method for minimally displaced pediatric mandibular fracture.

Pediatric mandibular fractures have been successfully managed in various ways. The use of a lingual splint is an option. This article presents a 4-year old boy who was treated by an alternative conservative method with a combination of an arch bar plus a lingual splint, circum-mandibular wiring and IMF for the reduction, stabilization and fixation of a severely displaced bilateral man‌dibular body fracture. This technique is a reliable, noninvasive procedure; it also limits the discomfort and morbidity associated with maxillomandibular fixation or open reduction and internal fixation in pediatric patients

http://jdmt.mums.ac.ir/article_6613_e3002e69885953b231b7c5fcb4126fa4.pdf

A Conservative Method for Treating Severely Displaced Pediatric Mandibular Fractures: An Effective Alternative Technique

thick surrounding adipose tissue, and stabilization of the mandible and maxilla by the unerupted teeth.2 Pediatric mandible fractures are uncommon and have been treated by a wide variety of fixation methods. Incomplete or nondisplaced fractures as well as fractures of the subcondylar region are treated by traditional methods of a soft diet or closed reduction. Displaced fractures are better served by open reduction and internal fixation (ORIF). Excluding the nasal bones, the mandible is the most frequently fractured facial bone in pediatric patients. Onethird of pediatric trauma patients with facial fractures have mandibular fracture. The treatment of pediatric mandibular fractures is controversial and complicated by many factors such as tooth eruption, short roots, developing tooth buds, and growth especially at the mixed dentition stage. Rigid fixation is a technique used in the management of facial fractures that has been developed for more than 20 years.3 However, use in children is somewhat controversial. Many studies on infant animals showed that plate fixation across the mid-facial and cranial sutures lines have resulted in growth retardation along these suture lines. Since these studies were performed on infant animals with rapid facial growth patterns, it was difficult to draw firm conclusions with regard to human children.4 But these studies did highlight the fact that rigid fixation should be used cautiously in children. If proper reduction of facial fractures is not achievable by other means, rigid fixation should be performed because the alternative of improper correction is unacceptable. The goals of treatment should be an accurate reduction, three-dimensional restorations of preinjury form and functions.5 If it requires rigid fixation with plating, then this must be done using monocortical screws at the inferior border of the mandible to avoid damaging the underlying teeth. The commonly used osteosynthesis technique for the fixation of adult parasymphysial fractures is to use two miniplates: One at the inferior border of the mandible and the other above it as a tension band to withstand the torsion forces in this area of the mandible.6 Many factors make closed reduction difficult in pediatric mandibular fractures. The child is more difficult 1,3Reader, 2Senior Lecturer, 4Principal 1-4Department of Oral and Maxillofacial Surgery, Kannur Dental College, Anjarakandy, Kerala, India

Open Reduction and Internal Fixation in Pediatric Mandibular Fractures: A Report of 10 Cases and Review of Literature

Mandibular fractures are relatively less frequent in children when compared to adults, which may be due to the child's protected anatomic features and infrequent exposure of children to alcohol related traffic accidents. Treatment principles of mandibular fractures differ from that of adults due to concerns regarding mandibular growth and development of dentition. A case of a 7 year old boy with fractured left body of mandible managed by closed reduction using open occlusal acrylic splint and circummandibular wiring is presented. Patient was reviewed on regular intervals, the circum-mandibular wiring and splint was removed after 15 days under local anesthesia. No mobility was present at the fracture site. Postoperative recovery was uneventful and satisfactory occlusion was achieved. Patient had good masticatory efficiency.

Management of Mandibular Body Fractures in Pediatric Patients: A Case Report with Review of Literature

Suicide is the second leading cause of death in 15-29 Years old population and close to 8 lakh people die due to suicide every year.

Role of psychosocial factors in completed suicide-A study conducted at rml mortuary from 2017 to 2021

Introduction Dental patients are usually concerned about the side effects of extraction of upper teeth on their eyes, however rare but certain ophthalmic complications corresponding to dental anaesthesia are well reported in literature. Material and Methods We present a case of 50-year-old female who developed ophthalmic complications following Posterior Superior Alveolar Nerve Block administration during extraction of left maxillary second molar. Results A clinical diagnosis of transient oculomotor palsy was made. Constant assurance about the transient nature of the symptoms was given to the patient. The patient started recovering after 30 min and recovered fully in about 2 h. Clinical significance Clinicians should be well aware of the ophthalmic effects of dental anaesthesia, this should always be kept in the back of mind that such complications are mostly transient but permanent loss of vision has also been documented in literature. 

The curious case of inability to open one eye after ipsilateral Posterior Superior Alveolar Nerve block

Pre-infantile tremor syndrome is a prodromal phase of infantile tremor syndrome affecting children between 5 months to 3 years. It is characterized by vacant look, mental or motor regression, and apathy, inability to recognize mother, lethargy and poor interest in the surroundings. Megaloblastic anemia due to vitamin B12 deficiency is a common feature of the disease. The case discussed presented in a regional healthcare institute with severe anemia. On workup she was diagnosed as pre-infantile tremor syndrome and managed accordingly.

A Child with Megaloblastic Anaemia in Pre-Infantile Tremor Syndrome: A Case Report

The Rationale: Condyle fractures are a common type of mandibular fracture that can result in malocclusion. Open reduction and internal fixation (ORIF) in condylar fracture is considered as the most acceptable treatment modality. Patient Concerns: The patient complained of pain and difficulty in the jaw while chewing. Diagnosis: An orthopantomogram and reverse Towne's view can lead to diagnosis of the condylar fracture. Treatment: Open reduction and internal fixation using intraoperative real-time visualisation of subcondylar fracture reduction utilising the C-arm fluoroscopic approach were used to allow for adequate anatomical repositioning and fast restoration of function to meet the patient's concerns. Outcomes: We were able to achieve correct reduction of the fracture fragments with restoration of function and occlusion. Take-away Lessons: When this procedure is used to treat condylar fractures, surgeons can get a better view of the fracture segments while eliminating the need for postoperative intermaxillary fixation and also reduces the complications from inappropriate reduction and fixation.

https://journals.lww.com/aoms/Fulltext/2022/12010/Use_of_Intraoperative_C_Arm_Fluoroscopy_in_Open.25.aspx

Use of Intraoperative C-Arm Fluoroscopy in Open Reduction and Internal Fixation of Mandibular Condyle Fracture - A Case Report

Handle everyday research tasks with reliable, citation-backed results

Your personal Research Agent to handle research tasks with citation-backed results

Popular Tasks used by Researchers

How can I help with your research?

Meet SciSpace

Get more enhanced response by uploading the PDFs you want me to reference.

No relevant PDFs in your library

SciSpace is the AI research assistant for academics. Run systematic literature reviews on 280M+ papers, and write papers with cited sources. Trusted by 1M+ students, PhDs & researchers.

SciSpace | AI for Research

Analyze PDFs

Code & Manuscripts

Funding & Grants

Literature & Patents

Medical & Clinical Data

Systematic Review

Visualize & Present

Web & Data

Build a Google Scholar-like website for your research.

Build a website

Create charts and images for your research

Create a Chart

Write a paper for submission to a journal

Draft a manuscript

Patent Search

Design eye-catching scientific posters in minutes.

Scientific Poster Generation

Systematic Literature Review

One task is running at the moment. Your messages will be shown right after.

Drag and drop or click here to browse

Loved by <highlight>1 million+</highlight> researchers

Extract a list of specific topics and their sources from unstructured text

Topics

Compare and analyze relevant papers that matches with your search

Papers

Get insights from PDFs and bookmarked papers from your library

My library

Recent searches

Try searching for:

Catch AI-generated content in scholarly and non-scholarly content

{ai} Detector

Ai Writer

Get PDF Summaries, highlighted text explanations 

Chat with PDF

Effortlessly create in-text citations and bibliographies in APA and 2,500 other formats

Citation generator

Get explanations, summaries, and answers on academic papers

Ease up your research workflow with {scispace}'s cohort of exciting AI tools

Elevate your academic writing skills and convey your ideas the way you want

Paraphraser

Explore our range of reading and writing tools

Your file is being prepared and should be ready in a few minutes. If it's a large file, it might take a bit longer. You can close this window, and we'll email you the file when it's done.

You have reached a maximum limit of <strong>{limit}</strong> columns in the table. Remove at least <strong>1</strong> column to add or create another one.

Jitender Kumar

Author Tools

Chat about Author