Infant multiple mandibular fracture: case report / Fractura múltiple mandibular en infante: reporte de caso
Int. j. med. surg. sci. (Print)
; 3(2): 823-827, 2016. ilus
Article
in English
| LILACS
| ID: lil-790610
Responsible library:
CL1.1
ABSTRACT
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...
RESUMEN
La incidencia de fracturas faciales en infantes es baja. Los casos reportados muestran que afectan principalmente a la mandíbula y corresponden a fracturas únicas. Presentamos una paciente de 22 meses de edad, que sufre accidente automovilístico. Resulta entre otros, con múltiples frac-turas mandibulares bicondílea, de cuerpo izquierdo y parasinfisiaria derecha. Al tercer día se realiza fijación interna estable en fractura parasinfisiaria y de cuerpo mandibular y tratamiento funcional de las frac-turas condíleas a través de tracción elástica alterna-da, para prevenir la anquilosis. Tomografía computa-da a los seis meses muestra remodelación de los cóndilos mandibulares. Al examen clínico los rangos de movimiento mandibular están conservados y sin alteración. El éxito del tratamiento en pacientes pediátricos se basa en obtener una adecuada reducción anatómica y estabilidad de la fractura, que permita recuperar oportunamente forma y función, asegurando el futuro desarrollo de las estructuras dentarias y faciales.
Full text:
Available
Collection:
International databases
Health context:
SDG3 - Health and Well-Being
Health problem:
Target 3.6: Reduce deaths and the trauma caused by road accidents
Database:
LILACS
Main subject:
Fracture Fixation, Internal
/
Mandibular Fractures
Limits:
Female
/
Humans
/
Infant
Language:
English
Journal:
Int. j. med. surg. sci. (Print)
Journal subject:
Surgery
/
Medicine
Year:
2016
Document type:
Article
Affiliation country:
Chile
Institution/Affiliation country:
Hospital Clínico San Borja Arriarán/CL