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

Surgical Management of Maxillofacial Trauma: Open Reduction and Internal Fixation with Intermaxillary Fixation Techniques and Outcomes | Chapter 6 | Key Flaps in Plastic Surgery

 This book chapter presents a case report and discussion on the use of open reduction and internal fixation (ORIF) with intermaxillary fixation (IMF) in the management of posttraumatic maxillofacial fractures. The chapter includes a detailed case presentation, operative procedure, and a comprehensive discussion of the surgical technique, advantages, limitations, and postoperative care associated with ORIF with IMF.

The case presentation describes a patient who sustained facial injuries in a road traffic accident, resulting in a Le Fort I maxillary fracture and a fracture of the right nasal bone. The diagnosis was confirmed through computed tomography with 3-D reconstruction. The surgical intervention involved ORIF with IMF, with an upper gingivobuccal sulcus incision used to access the fracture site. The maxillary alveolus was stabilized in class I occlusion using IMF, followed by the application of 3-D titanium miniplates for fixation. The postoperative period was uneventful, with satisfactory results observed during follow-up examinations.

The discussion section introduces ORIF with IMF as a commonly employed surgical procedure in the management of maxillofacial fractures. The surgical technique involves precise repositioning of fractured bone segments, internal fixation using various methods, and the use of intermaxillary fixation to stabilize the jaw. The advantages of ORIF with IMF, including precise fracture reduction, stable fixation, restoration of occlusion, and improved long-term outcomes, are discussed. The limitations, such as the requirement for surgical skill and experience, the need for an individualized approach, and potential complications, are also addressed.

In conclusion, this book chapter provides valuable insights into the use of ORIF with IMF for the management of posttraumatic maxillofacial fractures. Through a case report, operative details, and a comprehensive discussion, the chapter highlights the efficacy, considerations, and postoperative care associated with this surgical technique. This information can guide surgeons in making informed decisions and achieving successful outcomes in the treatment of maxillofacial fractures using ORIF with IMF.

Author(s) Details:

Mohd. Altaf Mir,
Department of Burns and Plastic Surgery, All India Institute of Medical Sciences (AIIMS),Bathinda-151001, India.

Jaya Jain,
All India Institute of Medical Sciences (AIIMS), Bathinda-151001, India.

Please see the link here: https://stm.bookpi.org/KFPS/article/view/11501