scholarly journals Management Of Mandibular Fracture in 5 Year Old Child : A Case Report

2015 ◽  
Vol 03 (01) ◽  
pp. 051-053
Author(s):  
Priyanka Dhawan ◽  
Taranjot Kaur ◽  
Sanjay Chachra ◽  
Kamaljeet Kaur
Keyword(s):  
Case Report ◽  
Closed Reduction ◽  
Reduction Method ◽  
Mandibular Fracture ◽  
Mandibular Fractures ◽  
Trauma Patients ◽  
Maxillofacial Injuries ◽  
Non Invasive ◽  
Body Fracture ◽  
Mandibular Body

AbstractTrauma induced maxillofacial injuries may affect function as well as estheticsin children. In hospitalized paediatric trauma patients, mandibular fractures are the most common. Boys are affected twice than girls. In children, management of mandibular fractures differ somewhat from that in adults. The objective of treatment is to restore the underlying bony architecture in a stable and non invasive fashion to pre injury position. Closed reduction method is preferred in most paediatric cases. This case report demonstrates the use of fabricated acrylic splint in the stabilization and fixation of a mandibular body fracture in a 5 yr old patient.

scholarly journals THE MANAGEMENT CLOSE REDUCTION OF MANDIBULAR FRACTURE IN PEDIATRIC PATIENT: A CASE REPORT

2016 ◽  
Vol 19 (2) ◽  
pp. 149-153
Author(s):  
Melva Novi Yanti ◽  
Abel Tasman ◽  
Fathurachman Fathurachman
Keyword(s):  
Case Report ◽  
Functional Impairment ◽  
Closed Reduction ◽  
Growth And Development ◽  
Reduction Method ◽  
Mandibular Fracture ◽  
Mandibular Fractures ◽  
Mandibular Growth ◽  
Number Of Factors ◽  
Minimal Residual

Mandibular fractures are less common in children compared to adults, due to a number of factors including the anatomical complexity of mandibular development in a child. This article aims to discuss the treatment’s principle of mandibular fractures differ from that of adults due to concerns regarding mandibular growth and development of dentition. A case of a 7-year old boy with fracture of the left mandibular corpus that sinistra region was treated with a closed reduction method using gunning splints with circumferential mandibular wires. On the sixth week after surgery,  the circumferential mandibular wiring and splint were removed. From clinical examination there was no edema; no oral mucosal abnormalities were found; no teeth mobility; and no step displacement at corpus mandibular sinistra region. The treatment’s goal is to restore the structures from the broken bone to its pre-injury position as non-invasively as possible with minimal residual esthetic and functional impairment.

scholarly journals Closed reduction in the treatment of neglected mandibular fractures at the Department of Oral and Maxillofacial Surgery, Universitas Airlangga

2019 ◽  
Vol 52 (3) ◽  
pp. 147
Author(s):  
Olivia Jennifer Gunardi ◽  
Riska Diana ◽  
David Buntoro Kamadjaja ◽  
Ni Putu Mira Sumarta
Keyword(s):  
Closed Reduction ◽  
Reduction Method ◽  
Maxillofacial Surgery ◽  
Case Series ◽  
Mandibular Fracture ◽  
Patient Treatment ◽  
Dental Occlusion ◽  
Oral And Maxillofacial Surgery ◽  
Mandibular Fractures ◽  
Intermaxillary Fixation

Background: The mandible is one of the bones most affected by facial fractures commonly resulting from trauma to the face. The ultimate goal of treatment is to re-establish the pre-injury dental occlusion (bite), mandibular anatomy and jaw function of the patient. Treatment approaches range from conservative non-invasive management by ’closed’ reduction and immobilization using intermaxillary fixation (IMF) to the more invasive surgery-based ’open’ reduction incorporating an internal fixation approach. Purpose: The purpose of this case series was to describe the close reduction method as a form of treatment in cases of neglected mandibular fracture. Cases: Four cases of single or multiple mandibular fracture were presented. Case management: All of the cases were managed using a closed reduction method and IMF. Conclusion: A closed reduction method in this case series produced encouraging results and could be considered an alternative in the treatment of neglected mandibular fractures with displacement.

scholarly journals Management of Mandibular Fracture in Pediatric Patient Using Vacuum-Formed Splint: A Case Report

2017 ◽  
Vol 05 (03) ◽  
pp. 112-115
Author(s):  
Arti Dolas ◽  
Anand Shigli ◽  
Nupur Ninawe ◽  
Ritesh Kalaskar
Keyword(s):  
Case Report ◽  
Pediatric Patient ◽  
Closed Reduction ◽  
Open Reduction ◽  
Fracture Site ◽  
Mandibular Fracture ◽  
Mandibular Fractures ◽  
Noninvasive Treatment

AbstractMandibular fractures are less prevalent in children as compared with adults. This is due to the anatomic differences present in children. Treatment of mandibular fractures ranges from conservative noninvasive treatment to open reduction and fixation of fracture site. A case of 12-year-old boy with left parasymphyseal fracture managed by closed reduction using a vacuum-formed splint is reported here.

scholarly journals The Cat Mandible (II): Manipulation of the Jaw, with a New Prosthesis Proposal, to Avoid Iatrogenic Complications

Animals ◽  
2021 ◽  
Vol 11 (3) ◽  
pp. 683
Author(s):  
Matilde Lombardero ◽  
Mario López-Lombardero ◽  
Diana Alonso-Peñarando ◽  
María del Mar Yllera
Keyword(s):  
Imaging Techniques ◽  
Recovery Period ◽  
Prosthesis Design ◽  
Patient Specific ◽  
Mandibular Fractures ◽  
Rigid Fixation ◽  
Invasive Approach ◽  
Non Invasive ◽  
Iatrogenic Complications ◽  
Mandibular Body

The cat mandible is relatively small, and its manipulation implies the use of fixing methods and different repair techniques according to its small size to keep its biomechanical functionality intact. Attempts to fix dislocations of the temporomandibular joint should be primarily performed by non-invasive techniques (repositioning the bones and immobilisation), although when this is not possible, a surgical method should be used. Regarding mandibular fractures, these are usually concurrent with other traumatic injuries that, if serious, should be treated first. A non-invasive approach should also first be considered to fix mandibular fractures. When this is impractical, internal rigid fixation methods, such as osteosynthesis plates, should be used. However, it should be taken into account that in the cat mandible, dental roots and the mandibular canal structures occupy most of the volume of the mandibular body, a fact that makes it challenging to apply a plate with fixed screw positions without invading dental roots or neurovascular structures. Therefore, we propose a new prosthesis design that will provide acceptable rigid biomechanical stabilisation, but avoid dental root and neurovascular damage, when fixing simple mandibular body fractures. Future trends will include the use of better diagnostic imaging techniques, a patient-specific prosthesis design and the use of more biocompatible materials to minimise the patient’s recovery period and suffering.

scholarly journals Postoperative dysphagia caused by a delay in mandibular fracture treatment in a patient with severe intellectual disability: a case report

2022 ◽  
Vol 16 (1) ◽  
Author(s):  
Shinsuke Yamamoto ◽  
Masanori Nashi ◽  
Keigo Maeda ◽  
Naoki Taniike ◽  
Toshihiko Takenobu
Keyword(s):  
Intellectual Disability ◽  
Mandibular Fracture ◽  
Fracture Treatment ◽  
Disuse Atrophy ◽  
Postoperative Dysphagia ◽  
Endoscopic Gastrostomy ◽  
Severe Intellectual Disability ◽  
Body Fracture ◽  
Mandibular Body ◽  
Dysphagia Rehabilitation

Abstract Background The postoperative complications of mandibular fracture include malocclusion, infection, nonunion, osteomyelitis, and sensorial mental nerve dysfunction. However, there are no reports regarding postoperative dysphagia as a complication of mandibular fracture. Herein, we report a rare case of postoperative dysphagia caused by delayed mandibular fracture treatment in a patient with severe intellectual disability. Case presentation A 46-year-old Japanese male patient with severe intellectual disability fell down and struck his chin. The patient was referred to our department 10 days after the accident. Upon examination, he could not close his mouth because of severe left mandibular body fracture. Open reduction and internal fixation was performed under general anesthesia 16 days after sustaining the injury, and normal occlusion was eventually achieved. However, the patient could not swallow well a day after surgery. He was then diagnosed with postoperative dysphagia caused by disuse atrophy of muscles for swallowing based on videoendoscopic examination findings. Adequate dysphagia rehabilitation could not be facilitated because of the patient’s mental status. Postoperative dysphagia did not improve 21 days after surgery. Therefore, percutaneous endoscopic gastrostomy was required. Conclusions The treatment course of the patient had two important implications. First, postoperative dysphagia caused by disuse atrophy may occur if treatment is delayed in severe mandibular body fracture. Second, in particular, if a patient with severe intellectual disability develops postoperative dysphagia caused by disuse atrophy, adequate dysphagia rehabilitation cannot be facilitated, and percutaneous endoscopic gastrostomy may be required. Therefore, early open reduction and internal fixation is required for mandibular fracture in a patient with severe intellectual disability.

scholarly journals A Simplified Digital Workflow for the Treatment of Pediatric Mandibular Fractures Using Three-Dimensional (3D) Printed Cap Splint: A Case Report

2019 ◽  
Vol 3 (1) ◽  
pp. s-0039-1694765
Author(s):  
Chitra Chakravarthy ◽  
Nitish Chandra Gupta ◽  
Ravi Patil
Keyword(s):  
Case Report ◽  
General Anesthesia ◽  
Three Dimensional ◽  
Mandibular Fracture ◽  
Mandibular Fractures ◽  
Digital Workflow ◽  
Mandibular Growth ◽  
Dental Model ◽  
3D Printed ◽  
Tooth Germs

Pediatric mandibular fracture needs special consideration by clinicians. The management of pediatric mandibular fracture differs from that in adults considering the presence of tooth germs and the potential for mandibular growth. One of the most common forms of conservative management for pediatric mandibular fractures is the use of cap splint along with circummandibular wiring. The conventional workflow prior to performing surgery with this technique is impression taking and dental model fabrication. Additionally, it is also recommended that mock surgery should be performed to achieve proper reduction before acrylic splint fabrication. However, these procedures are effortful and time consuming when performed under general anesthesia during surgery and require additional sedation if performed prior to surgery. The aim of this case report is to describe a simpler preoperative digital workflow for the treatment of pediatric mandibular fractures, in which closed reduction is achieved with a three-dimensional printed cap splint stabilized with circummandibular wiring under general anesthesia.

scholarly journals Pediatric mandibular fracture therapy: A case report

2020 ◽  
Vol 77 (6) ◽  
pp. 647-650
Author(s):  
Ivan Tusek ◽  
Miroslav Ilic ◽  
Jasmina Tusek ◽  
Stojan Ivic ◽  
Branislav Tusek
Keyword(s):  
Case Report ◽  
Developmental Disorders ◽  
Mouth Opening ◽  
Treatment Method ◽  
Mandibular Fracture ◽  
Fracture Line ◽  
Mixed Dentition ◽  
Dental Occlusion ◽  
Mandibular Fractures ◽  
Efficient Treatment

Introduction. Frequency of pediatric mandibular fractures is relatively uncommon. Apart from rare exceptions, there is minimal invasive access in the treatment of those injuries in order to avoid the future developmental disorders. Case report. During the game with a colt, a 6-year-old boy was kicked by hoof in the chin. The child did not lose consciousness and did not experience nausea or vomiting. According to clinical examination and radiological analysis, diagnosis was assigned as dislocated mandibular fracture in the parasymphysis part of the jaw and luxation injury of teeth 31 and 72. The surgical treatment under general anesthesia encompassed reduction and bimanual manipulation of bone fragments up to the optimal restoration of the dental occlusion, along with osteosynthesis with titanium miniplates. Luxated deciduous tooth 72 at the fracture line was extracted and luxated permanent tooth 31 was fixed to tooth 41 with wire. The patient was given antibiotic therapy. Additional immobilization of the luxated tooth 31 and mandibular fracture was performed after surgery by composite resin splint. During five-month follow-up period there were no signs of pathological movements in the fracture line, no luxation of tooth 31 and no restriction in mouth opening. Conclusion. Osteosynthesis with miniplates is adequate and very efficient treatment method in dislocated mandibular fracture that is recommended in children with both deciduous and mixed dentition. It is necessary to remove miniplates after fracture consolidation.

Right mandibular angle and left comminuted mandibular body fractures stabilised with a combination of an acetabular plate and secured pin intermandibular ventral epoxy resin (SPIVER) frame in a four-month-old puppy

2020 ◽  
Vol 8 (3) ◽  
pp. e001131
Author(s):  
Fabrizio di Virgilio ◽  
Alexandros Bourbos ◽  
Filippo Cinti ◽  
Guido Pisani
Keyword(s):  
Epoxy Resin ◽  
Mandibular Fracture ◽  
Mandibular Fractures ◽  
Mandibular Angle ◽  
Mandibular Angle Fracture ◽  
Angle Fracture ◽  
Mandibular Body ◽  
Fracture Configuration ◽  
Osteosynthesis Techniques ◽  
One Year

This case report aimed to describe a surgical technique combining a secured pin intermandibular ventral epoxy resin (SPIVER) frame and an acetabular plate to manage a complex mandibular fracture configuration in a puppy. A four-month-old, entire male, German wirehaired pointer was referred for assessment of a combination of recent (three days before hospitalisation) and older traumatic (45 days before hospitalisation) facial injuries inflicted by the dam. CT revealed multiple mandibular and maxillary fractures with complex acute mandibular fractures requiring surgical stabilisation. wo techniques were combined on stabilisation of the mandible: a single acetabular plate 2.7 to repair the mandibular angle fracture and a SPIVER frame to repair the comminuted mandibular fracture. Both fractures healed uneventfully, and the dog had normal jaw function one year postoperatively. Occlusion was not modified compared with the preoperative condition, considering that the patient already had a malocclusion defect due to old lesions. The combination of two different osteosynthesis techniques had satisfactory short-term and long-term outcomes in this puppy.

scholarly journals Case Report and Literature Review of a Pathologic Mandibular Fracture from Metastatic Esophageal Adenocarcinoma

2018 ◽  
Vol 2018 ◽  
pp. 1-4
Author(s):  
Daniel C. O’Brien ◽  
Garrett Jones ◽  
Maggie Yell ◽  
Jason McChesney
Keyword(s):  
Case Report ◽  
Literature Review ◽  
Oral Cavity ◽  
Esophageal Adenocarcinoma ◽  
Distant Metastasis ◽  
Mandibular Fracture ◽  
Mandibular Fractures

Distant metastasis to the jaws, including the maxilla or mandible, is very rare. Although the mandible is the preferred sight of these rare metastases, it is extremely rare for oral cavity malignancies to present as pathological mandibular fractures. Here, we present a case of esophageal adenocarcinoma metastasizing to the mandible, and the first reported case presenting with a pathological mandibular fracture secondary to esophageal adenocarcinoma. We also review the 9 other reported cases of metastatic esophageal adenocarcinoma to either the maxilla or mandible.

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