PEDIATRIC FRACTURES OF JAW AND FACIAL BONES

PEDIATRICS ◽  
1973 ◽  
Vol 51 (3) ◽  
pp. 551-559
Author(s):  
Daniel E. Waite
Keyword(s):  
Conservative Treatment ◽  
Adult Patient ◽  
Pediatric Patient ◽  
Patient Management ◽  
Mandibular Fractures ◽  
Facial Fractures ◽  
Facial Bones ◽  
Pediatric Fractures ◽  
Treatment Principles ◽  
Condylar Fractures

The author has reviewed the literature in the area of jaw and facial fractures in the pediatric patient. There are differences in incidence and treatment between the pediatric and adult patient. A review of the treatment principles for pediatric patient management is provided. Special attention is devoted to the use of "stock" trough splints in the treatment of mandibular fractures. The conservative treatment of condylar fractures is advocated.

scholarly journals Complications of Bone Plating Following Different Facial Bones Fractures

2018 ◽  
Vol 14 (6) ◽  
pp. 351
Author(s):  
Ali R. Al-Hammami ◽  
Auday M. Al-Anee ◽  
Thair Abdul Lateef ◽  
Adil Al-khayat
Keyword(s):  
Wound Dehiscence ◽  
Mandibular Fractures ◽  
Facial Fractures ◽  
Facial Bones ◽  
Reconstruction Procedure ◽  
Female Ratio ◽  
Plate Removal ◽  
Hardware Failure ◽  
The Mean ◽  
Male To Female

The Aim of our study was to evaluate the complication of bone plating fixation used for treatment of multiple type of facial fracture, reconstruction procedure and bone graft in maxillofacial trauma. This prospective study was performed on 42 patients to evaluates complications of the bone plates had been used in fixation of multiple facial fractures, between October 2013 and March 2015, The age of the patients ranged from 17 – 65 years The mean age of the patients was (31.7± 9.4) years. There were 31 males and 11 females, with male to female ratio (2.81:1), patients were followed up for minimum 6 months. Seventy-one plates were inserted over 17 months. Among the 42 patients there were 45 fracture sites, 26 (57.8%) were mandibular fractures, 15 (33.3%) were ZMC fractures, and four (8.9%) were maxillary; it is worth mentioning that some patients had fracture at more than one site. Complications due to fracture fixation with bone plating were 33 represented 46.5% of the total 71 plates inserted, which included Infection/wound dehiscence 15 (21.1%), Discomfort/ palpability 9 (12.7%), Plate exposure 4 (5.6%), hardware failure (broken plate & loosening screw) 1 (1.4%), Cold/heat intolerance 3 (4.2%) and Pain (TMJ) account for one plate (1.4%). According to this study, there will be a need for hardware removal in a portion of patients treated with metallic osteosynthesis devices. This study states that the infection is most common reason for plate removal, followed by discomfort due to cold/heat climate, particularly in those facial regions that provide only thin soft tissue cover over the plate.

scholarly journals Delayed Diagnosis of Unilateral Mandibular Condylar Fracture in a Posterior Edentulous Patient

2021 ◽  
Vol 2021 ◽  
pp. 1-4
Author(s):  
Sahani Anupama ◽  
Pilana Vithanage Kalani Shihanika Hettiarachchi
Keyword(s):  
Early Diagnosis ◽  
Clinical Case ◽  
Delayed Diagnosis ◽  
Mandibular Fractures ◽  
Edentulous Patient ◽  
Condylar Fracture ◽  
Physical Finding ◽  
Case Presentation ◽  
Edentulous Patients ◽  
Condylar Fractures

Background. Fractures of the mandible are common in elderly patients, and among them, condylar fractures are the most frequent type. A change in occlusion is the most common physical finding in patients with fractures of the mandible. Therefore, it is challenging to identify mandibular fractures in posterior edentulous patients due to the lack of posterior occlusal contacts. It is crucial to do radiological investigations in such patients to exclude fractures. Case Presentation. This article describes a case of delayed diagnosis of a unilateral mandibular condylar fracture for a week’s duration and treating the condition as temporomandibular pathology in a posterior edentulous, 52-year-old patient. Conclusion. This clinical case highlights the importance of radiological investigations and occlusal analysis for early diagnosis of condylar fractures, particularly in posterior edentulous patients, lacking posterior occlusal contacts.

scholarly journals Conservative Approach to Unilateral Condylar Fracture in a Growing Patient: A 2.5-Year Follow Up

2012 ◽  
Vol 6 (1) ◽  
pp. 1-4 ◽  
Author(s):  
Elif Bahar Tuna ◽  
Aysun Dündar ◽  
Abdülkadir Burak Çankaya ◽  
Koray Gençay
Keyword(s):  
Conservative Treatment ◽  
Mouth Opening ◽  
Facial Asymmetry ◽  
Mandibular Growth ◽  
Fractures In Children ◽  
Facial Swelling ◽  
Direct Pressure ◽  
Condylar Head ◽  
Condylar Fractures

Condylar fractures in children are especially important because of the risk of a mandibular growth-center being affected in the condylar head, which can lead to growth retardation and facial asymmetry. The purpose of this article is to follow up the two and half year clinical and radiological evaluation of the conservative treatment of a 10 year-old patient, who had a unilateral green-stick type fracture. The patient presented with painful facial swelling localized over the left condylar region, limited mouth-opening and mandibular deviation to the left. Panoramic radiography and computed tomography confirmed the diagnosis of incomplete fracture on the left condyle with one side of the bone fractured and the other bent. Closed reduction was chosen to allow for initial fibrous union of the fracture segments and remodeling with a normal functional stimulus. A non-rigid mandibular splint was applied in order to remove the direct pressure on the fracture side of the mandible. Clinical and radiologic examination after 30 months revealed uneventful healing with reduction of the condylar head and remodeling of the condylar process following conservative treatment.

scholarly journals Failed Fixation in Atrophic Mandibular Fractures: The Case against Miniplates

2011 ◽  
Vol 4 (3) ◽  
pp. 145-150 ◽  
Author(s):  
Matthew J. Madsen ◽  
George M. Kushner ◽  
Brian Alpert
Keyword(s):  
Internal Fixation ◽  
Patient Management ◽  
Mandibular Fractures ◽  
Medical Problems ◽  
Difficult Patient ◽  
Load Bearing ◽  
Rigid Internal Fixation ◽  
Improved Outcomes ◽  
Edentulous Mandible

Despite advances in the treatment of the fractured atrophic edentulous mandible, treatment continues to be difficult. Patient management is more complicated due to patients often being elderly with more complex medical problems. Rigid internal fixation has greatly improved outcomes with shorter treatment times, yet a consensus has yet to be reached regarding which method yields the most predictable results. Options include using small miniplates to larger reconstruction plates. Although each method has advantages, we present our experience with retreatment of failed miniplate fixation using load-bearing reconstruction plates of fractured atrophic edentulous mandibles.

Conservative Treatment of Ameloblastoma in a Pediatric Patient: A Case Report

2019 ◽  
Vol 77 (8) ◽  
pp. 1643-1649
Author(s):  
Risimati Ephraim Rikhotso ◽  
Vinayagie Premviyasa
Keyword(s):  
Case Report ◽  
Conservative Treatment ◽  
Pediatric Patient

scholarly journals Acquired Jugular Vein Aneurysm

2009 ◽  
Vol 2009 ◽  
pp. 1-4 ◽  
Author(s):  
Erkki Hopsu ◽  
Jussi Tarkkanen ◽  
Seija I. Vento ◽  
Anne Pitkäranta
Keyword(s):  
Conservative Treatment ◽  
Adult Patient ◽  
Treatment Guidelines ◽  
Jugular Vein ◽  
Lateral Neck ◽  
Venous Malformations ◽  
Jugular Veins ◽  
Muscular Layer ◽  
Therapeutic Modalities ◽  
Venous Dilatation

Venous malformations of the jugular veins are rare findings. Aneurysms and phlebectasias are the lesions most often reported. We report on an adult patient with an abruptly appearing large tumorous mass on the left side of the neck identified as a jugular vein aneurysm. Upon clinical examination with ultrasound, a lateral neck cyst was primarily suspected. Surgery revealed a saccular aneurysm in intimate connection with the internal jugular vein. Histology showed an organized hematoma inside the aneurysmal sac, which had a focally thinned muscular layer. The terminology and the treatment guidelines of venous dilatation lesions are discussed. For phlebectasias, conservative treatment is usually recommended, whereas for saccular aneurysms, surgical resection is the treatment of choice. While an exact classification based on etiology and pathophysiology is not possible, a more uniform taxonomy would clarify the guidelines for different therapeutic modalities for venous dilatation lesions.

scholarly journals Class III malocclusion and bilateral cross-bite in an adult patient treated with miniscrew-assisted rapid palatal expander and aligners

2018 ◽  
Vol 88 (5) ◽  
pp. 649-664 ◽  
Author(s):  
Luca Lombardo ◽  
Antonella Carlucci ◽  
Bortolo Giuliano Maino ◽  
Anna Colonna ◽  
Emanuele Paoletto ◽  
...  
Keyword(s):  
Case Report ◽  
Conservative Treatment ◽  
Adult Patient ◽  
Successful Treatment ◽  
Cone Beam ◽  
Class Iii ◽  
Class Iii Malocclusion ◽  
Surgical Guide ◽  
Before And After ◽  
Skeletal Pattern

ABSTRACT This case report describes the use of a miniscrew-assisted rapid palatal expander and aligners to correct bilateral cross-bite and crowding in an adult patient with a Class III skeletal pattern. A digitally designed surgical guide was three-dimensionally printed and used to accurately insert four miniscrews into the palate; these were employed to anchor a novel miniscrew-assisted rapid palatal expander appliance without any dental anchorage. Cone-beam computed tomograms before and after miniscrew-assisted rapid palatal expander treatment demonstrated the orthopedic expansion of the maxilla without dental tipping. The patient was then fitted with aligners to correct crowding and malocclusion. This case report demonstrates the successful treatment of an adult patient with a narrow maxilla and bilateral cross-bite using a nonsurgical, conservative treatment.

scholarly journals Adult Ileocolic Intussusception from the Appendix

2019 ◽  
Vol 2019 ◽  
pp. 1-3
Author(s):  
Natalie Green ◽  
William Krantz ◽  
Allison Tadros
Keyword(s):  
Abdominal Pain ◽  
Adult Patient ◽  
Pediatric Patient ◽  
Adult Patients ◽  
Lead Point ◽  
Ileocolic Intussusception ◽  
Ileocecal Intussusception

Intussusception is more commonly considered in the pediatric patient with abdominal pain, but can occur in adults as well. Adult patients are more likely to have an underlying intra-abdominal pathology leading to the condition. We present an adult patient presenting with abdominal pain with ileocecal intussusception diagnosed on imaging and confirmed surgically. In this case, appendiceal pathology served as the lead point for the intussusception.

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