A Preschooler's Displaced Mandibular Body Fracture: A Closed Reduction Case Study | Chapter 12 | Medical Science: Updates and Prospects Vol. 4

 

Because developing tooth buds and development centres make treating mandibular fractures in young patients more difficult, conservative approaches are often used to avoid iatrogenic damage. This report describes the application of this approach to a 4-year-old kid who had a displaced left mandibular body fracture after a fall. A CT scan verified that the fracture was successfully treated with closed reduction and maxillomandibular fixation (MMF), which was performed completely intraorally using arch bars and elastics. The 30-minute procedure yielded an excellent outcome with no issues, and the patient's function and appearance were entirely restored after a four-week fixing period. This case study demonstrates that closed reduction with MMF is a highly effective, minimally invasive approach for treating some mandibular fractures in young children while preserving growth potential and ensuring proper healing.

 

 

Author(s) Details

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

 

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

 

Hassan Mohamed Khaled Talaat Youssef
Department of Oral and Maxillofacial Surgery, Medical Institute, Peoples' Friendship University of Russia Named after Patrice Lumumba, Moscow, Russia.

 

Aida Jahanbekam
Department of Oral and Maxillofacial Surgery, Medical Institute, Peoples' Friendship University of Russia Named after Patrice Lumumba, Moscow, Russia.

 

Fatemeh Hassannezhad Neissi
Department of Oral and Maxillofacial Surgery, Medical Institute, Peoples' Friendship University of Russia Named after Patrice Lumumba, Moscow, Russia.

 

Ali Sharifzadeh Ghazani
Department of Oral and Maxillofacial Surgery, Medical Institute, Peoples' Friendship University of Russia Named after Patrice Lumumba, Moscow, Russia.

 

Bahar Behroozi
Department of Oral and Maxillofacial Surgery, Medical Institute, Peoples' Friendship University of Russia Named after Patrice Lumumba, Moscow, Russia.

 

Kambiz Ebrahimi
Department of Oral and Maxillofacial Surgery, Medical Institute, Peoples' Friendship University of Russia Named after Patrice Lumumba, Moscow, Russia.

 

Tahoura Talebidelooei
Department of Oral and Maxillofacial Surgery, Medical Institute, Peoples' Friendship University of Russia Named after Patrice Lumumba, Moscow, Russia.

 

 

Please see the book here :- https://doi.org/10.9734/bpi/msup/v4/6937

Surgical Intervention and Rehabilitation of Pediatric Mandibular Fracture Following Dashboard Injury: A Case Report of a 12-Year-old Child | Chapter 14 | Medical Science: Recent Advances and Applications Vol. 3

Road traffic accidents (RTA) are responsible for major non-fatal injuries and also fatal injuries annually. Among such injuries, dashboard-related deceleration injuries may cause a wide spectrum of injuries, including complex facial injuries, blunt thoracoabdominal injuries, pelvic fractures, and lower extremity trauma. Paediatric maxillofacial fractures make up 1% - 15% of all facial fractures, which happen because of their distinct anatomical and developmental reasons. These include greater bone flexibility, the ratio between the cranial-to-facial volume, the paranasal sinuses' limited pneumatization, and protective features like the buccal fat pad and developing tooth buds. This report underscores paediatric mandibular fracture rehabilitation as a result of a dashboard injury. This article describes the surgical reconstruction of a 12-year-old child who was diagnosed with bilateral parasymphysial mandibular fractures caused by an unrestrained front-seat RTA. Multiple abrasions and contusions affect both the central and lateral face regions. A skull X-ray and multidetector CT scans were used to confirm the diagnosis. Under general anaesthesia, closed reduction with intermaxillary fixation (IMF) was conducted. IMF is a safe a cost-effective technique for pediatric maxillofacial fractures, as it avoids the complications of open reduction by titanium miniplates and screws, which delay bone growth on the affected side causing deformity. This technique is mainly useful in settings with few available resources or where advanced fixation methods are not available. Postoperative panorama for follow-up purposes was carried out, revealing proper reduction, normal healing with no complications. The success in treating the 12-year-old patient in this case shows the importance of early diagnosis, adequate surgical technique, and postoperative care in achieving maximum recovery.

 

Author (s) Details

 

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

 

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

 

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

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

 

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

 

Ahmed Mohamed Sayed Kotb
I.M. Sechenov First Moscow State Medical University (Sechenov University), Ministry of Health of the Russian Federation, Moscow, Russia.

 

Please see the book here:- https://doi.org/10.9734/bpi/msraa/v3/5263