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

A comparative Study on Single 2.3 Reconstruction Plate and Two Conventional Miniplates in the Treatment of Mandibular Fractures | Chapter 1 | Research Highlights in Disease and Health Research Vol. 3

 Introduction: After nasal bone fractures, mandibular  fractures are the most common maxillofacial fractures. As a result, several clinical studies were carried out in order to improve the techniques used, shorten the immobilization period, and improve rigid fixation. Rigid fixation with a single 2.3mm reconstruction plate at the inferior border of the mandible is one of these modalities.

Objectives: The goal of this study is to compare the clinical and radiographic performance of a single 2.3mm reconstruction plate osteosynthesis with that of two conventional miniplates.

Materials and Methods: Two groups of 7 patients with a recent anterior mandibular fracture were formed. Group A received treatment with a single 2.3mm low-profile reconstruction plate, while Group B received treatment with two conventional miniplates. Clinical follow-up was performed after 24 hours, one week, four weeks, six weeks, and twelve weeks. A radiographic examination was also performed immediately after surgery and after twelve weeks to estimate the mean bone density across the fracture line.

Results: After twelve weeks, all patients reported statistically significant reductions in pain levels over the course of the study (p<0.001). During the study, all cases showed a statistically significant improvement in their maximal mouth opening; P = 0.002 for group A and p<0.001 for group B. Both groups showed normal occlusion. Nonetheless, one patient in Group A developed a postoperative wound infection, which was treated with antibiotics and proper wound care. In group B, there were no wound infections. By comparing postoperative 12 weeks to immediate values, the average bone density has risen tremendously. But besides this, group A had a higher mean bone density (p<0.001) than group B (p=0.004).

Conclusion: In the treatment of anterior mandibular fractures, a single non-locking low-profile reconstruction plate produced comparable results to a single locking low-profile reconstruction plate when compared to conventional two miniplates. A single low-profile non-locking reconstruction plate produced slightly better results than two conventional miniplates.

Author(s) Details:

Malak Mohamed Said Salem,
Oral and Maxillofacial Surgery Department, Faculty of Dentistry, Alexandria University, Alexandria, Egypt.

Ahmed Ahmed Sharara,
Oral and Maxillofacial Surgery Department, Faculty of Dentistry, Alexandria University, Alexandria, Egypt.

Gaafar Nabil El Halawani,
Oral and Maxillofacial Surgery Department, Faculty of Dentistry, Alexandria University, Alexandria, Egypt.

Please see the link here: https://stm.bookpi.org/RHDHR-V3/article/view/9777