Infant Multiple Mandibular Fracture: Case Report
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Resumen
Infant facial fracture incidence is low. Most reported cases affect the jaw and are single fractures. We present a twenty-two-month old patient, who had a high-energy car accident. Among other injures, she suffered a multiple mandibular fracture: bicondylar, left body and right parasymphyseal. Stable internal fixation of parasymphyseal and body mandibular fracture was performed on the third day. Condylar fractures had a functional treatment with switching elastic traction to prevent ankylosis. Computed tomography (CT) showed mandibular condyles remodelling after six months. Clinical examination showed that mandibular movement ranges were preserved without alteration. Successful treatment of paediatric patients is based on the achievement of an adequate anatomic reduction and the stability of the fracture, allowing opportune form and function recovery, in order to assure further development of dental and facial structures.
Citas
Bast, B. Injuries to the Mandibular Condyle and Subcondylar Region. In: Fonseca, R. J.; Marciani, R. D. & Turvey, T. A. Oral and Maxillofacial Surgery. Volume II: Trauma, Surgical Pathology,Temporomandibular Disorders. St. Louis (Mo.),Saunders/Elsevier, 2009.
Caubet Biayna, J.; Iriarte Ortabe, J. I.; Morey Mas, M.; García-Rozado González, A.; Jiménez Rubio,J. A. & Portaceli Roig, T. Capítulo 13: Fracturas Condíleas. En: Protocolos Clínicos de la Sociedad Española de Cirugía Oral y Maxilofacial. Madrid,Sociedad Española de Cirugía Oral y Maxilofacial,2014. pp.195-9.
Chidzonga, M. M. Mandibular fracture in a neonate:report of a case. Int. J. Oral Maxillofac. Surg., 35(2):186-7, 2006.
Ellis, E. & Throckmorton, G. S. Treatment of mandibular condylar process fractures: biological considerations. J. Oral Maxillofac. Surg.,63(1):115-34, 2005.
Glazer, M.; Joshua, B. Z.; Woldenberg, Y. & Bodner,L. Mandibular fractures in children: analysis of 61 cases and review of the literature. Int. J. Pediatr. Otorhinolaryngol., 75(1):62-4, 2011.
Haug, R. H. & Foss, J. Maxillofacial injuries in the pediatric patient. Oral Surg. Oral Med. Oral Pathol. Oral Radiol. Endod., 90(2):126-34, 2000.
Herford, A. & Punjabi, A. Mandibular Fractures. In: Thaller, S. R. & McDonald, W. S. Facial Trauma. New York, Marcel Dekker, 2004.
Knoche, J. W.; LeBlanc, K. K.; King, T. W. & Knox, B. L. An infant with a unilateral mandibular fracture: when to consider nonaccidental trauma. Clin. Pediatr. (Phila.), 51(4):404-7, 2012.
Kotecha, S.; Scannell, J.; Monaghan, A. & Williams, R. W. A four year retrospective study of 1,062 patients presenting with maxillofacial emergencies at a specialist paediatric hospital. Br. J. Oral Maxillofac. Surg., 46(4):293-6, 2008.
Muñante-Cárdenas, J. L.; Olate, S.; Asprino, L.; de Albergaria Barbosa, J. R.; de Moraes, M. & Moreira, R. W. Pattern and treatment of facial trauma in pediatric and adolescent patients. J. Craniofac. Surg., 22(4):1251-5, 2011.
Sharif, M. O.; Fedorowicz, Z.; Drews, P.; Nasser, M.; Dorri, M.; Newton, T. & Oliver, R. Interventions for the treatment of fractures of the mandibular condyle. Cochrane Database Syst. Rev., (4):CD006538, 2010.
Singh, V.; Bhagol, A.; Goel, M.; Kumar, I. & Verma, A. Outcomes of open versus closed treatment of mandibular subcondylar fractures: a prospective randomized study. J. Oral Maxillofac. Surg., 68(6):1304-9, 2010.
Vasconcelos, B. C.; Lago, C. A.; Nogueira, R. V.; Gondim, D. G., & Brito Filho, A. Mandibular fracture in a premature infant: a case report and review of the literature. J. Oral Maxillofac. Surg., 67(1):218-22, 2009.
Yen, S. L.; Don, D.; Pollack, S. & Yamashita, D. D. Closed reduction of a symphysis fracture in a 2- month-old infant: treatment considerations. J. Trauma, 56(3):706-8, 2004