Consequences of Rehabilitating a Juvenile Symphysial Mandibular Fracture: A Case Report | Chapter 7 | Medical Science: Recent Advances and Applications Vol. 1

The prevalence of facial fractures is much more common among children in comparison to the adult population, which is attributed to the higher craniofacial proportion among pediatrics. Furthermore, the incidence of pediatric facial fractures is more common in boys than girls, owing to the biological nature of males, who engage in more violent activities, more dangerous plays, and practice combat sports. The geographical disruption between urban and rural areas judges to a great extent the nature and mechanism of trauma, e.g., sport injuries and road traffic accidents are common etiologies of pediatric maxillofacial injuries, while violence and animal kicks or bites are more common among rural inhabitants. The “green-stick” nature of pediatric fractures makes their management more challenging. A young female of 11 years old was referred to our emergency clinic from a primary health center, she was reported by fallen from a height. Multi-detector computed tomography serial cuts had successfully confirmed our clinical diagnosis: Right Para symphysial, closed, dislocated, type A, fracture mandible. The decision was made for closed reduction with intermaxillary fixation (IMF) under general anesthesia. Postoperatively, skull x-rays demonstrated a normal oral occlusal plane restoring both functional and aesthetic aspects, without any complications. During the regular checks, which extended for more than 3 months in the outpatient clinic, or patient had successfully restored her normal oral occlusion, masticatory functions, and facial symmetry. No Complications observed.

For pediatric mandibular fractures, closed reduction with IMF, and even open reduction using interosseous wires are reliable, cost-effective procedures promoting appropriate alignment, healing, and functional recovery. Such a strategy is suitable in environments where resources are scarce or sophisticated fixation techniques are unavailable.

 

Author (s) Details

 

Salem, Mohamed Ahmed Eissa Sameh
Department of Operative Surgery and Clinical Anatomy Named after I.D. Kirpatovsky, Peoples’ Friendship University of Russia Named after Patrice Lumumba (RUDN University), Medical Institute, Moscow, Russian Federation.

Mekhaeel, Shehata Fakhry Mekhaeel
Department of Operative Surgery and Clinical Anatomy Named after I.D. Kirpatovsky, Peoples’ Friendship University of Russia Named after Patrice Lumumba (RUDN University), Medical Institute, Moscow, Russian Federation.

 

Protasov, Vitalevitch Andrey
Department of Operative Surgery and Clinical Anatomy Named after I.D. Kirpatovsky, Peoples’ Friendship University of Russia Named after Patrice Lumumba (RUDN University), Medical Institute, Moscow, Russian Federation.

 

Taha, Nada Ahmed Mohamed Elsayed
Department of Operative Surgery and Clinical Anatomy Named after I.D. Kirpatovsky, Peoples’ Friendship University of Russia Named after Patrice Lumumba (RUDN University), Medical Institute, Moscow, Russian Federation.

 

Elshliby, Abdelrahman Gomaa Zaky
Kirov State Medical University, Russia.

 

Please see the book here:- https://doi.org/10.9734/bpi/msraa/v1/5008