scholarly journals Physical Therapy as first therapy to mandibular fracture in a pediatric patient

2022 ◽  
Vol 11 (1) ◽  
pp. e38111125148
Author(s):  
Maísa Pereira-Silva ◽  
Nataira Regina Momesso ◽  
Ana Carolina Zucon Bacelar ◽  
Izabella Sol ◽  
Laís Kawamata de Jesus ◽  
...  
Keyword(s):  
Physical Therapy ◽  
Pediatric Patient ◽  
Surgical Approach ◽  
Fracture Site ◽  
Orthodontic Appliances ◽  
Mandibular Fractures ◽  
Soft Diet ◽  
Low Incidence ◽  
Mandibular Mobility ◽  
Condyle Fracture

Mandibular fractures are the most common in children, however with a low incidence because of child anatomy. Among the sites, the condyle is one the most fracture site, being a dilemma to surgeons about your management. The treatment to condyle fracture can be a surgical approach or conservative management. Conservative treatment presents the IMF, appliances, soft diet, and physiotherapy as an option, and these treatments can be applied isolated or associated. Physical Therapy has been a few reported in the literature as isolated therapy, reported as complementing the surgical approach, or after orthodontic/appliances therapy. Promote early mandibular mobility is important to restore function and prevent future complications such as ankylosis. Instruments to perform physiotherapy are expensive and not accessible to the entire population. Therefore, the present study presents a case of a pediatric patient with condyle fracture treated with a soft diet and physiotherapy with wooden spatula.

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.

Age, Operation Time, and Surgical Approach can Detect Incidental Gallbladder Carcinoma in Cholecystectomy Specimens from Low‐Incidence Settings

2021 ◽  
Author(s):  
Philippe Echelard ◽  
Simon F. Roy ◽  
Vincent Quoc‐Huy Trinh ◽  
Marie‐Pierre Garant ◽  
Yves Collin ◽  
...  
Keyword(s):  
Gallbladder Carcinoma ◽  
Surgical Approach ◽  
Operation Time ◽  
Low Incidence

Symphyseal fracture in a three-month-old infant

2021 ◽  
Vol 14 (12) ◽  
pp. e245661
Author(s):  
Amir Labib ◽  
Amir Samir Elbarbary
Keyword(s):  
Conservative Management ◽  
Male Infant ◽  
Fracture Site ◽  
Mandibular Fractures ◽  
Management Options ◽  
Mandibular Growth ◽  
Long Term Follow Up ◽  
High Index Of Suspicion ◽  
Displaced Fracture

Mandibular fractures are rare in infants, and diagnosis can be easily missed due to the difficulty in obtaining an adequate history and the subtle signs. A high index of suspicion and detailed history taking from the caregiver are mandatory to pick up these cases.There are a plethora of management options that have been reported in dealing with such fractures. They range from conservative management to internal fixation by absorbable plates. While conservative management does not interfere with mandibular growth and teeth development, any surgical intervention can carry this risk. Nevertheless, a severely displaced fracture may need anatomical reduction and fixation to allow early nutrition.This study reports a 3-month-old male infant with a fracture in the mandibular symphysis who underwent reduction of the fracture and circummandibular fixation using immobilisation by an acrylic splint for 4 weeks. His long-term follow-up after 20 months showed adequate dentition with proper healing of the fracture site.

scholarly journals Rate of displacement for Jakob Type 1 lateral condyle fractures treated with a cast

2018 ◽  
Vol 12 (2) ◽  
pp. 117-122 ◽  
Author(s):  
C. Zale ◽  
Z. A. Winthrop ◽  
W. Hennrikus
Keyword(s):  
Conversion Rate ◽  
Treatment Plan ◽  
Fracture Site ◽  
Lateral Condyle ◽  
Oblique View ◽  
Level Of Evidence ◽  
Lateral Condyle Fracture ◽  
Condyle Fracture ◽  
Internal Oblique

Purpose The aim of this retrospective study is to report the rate of displacement of Jakob Type 1 lateral condyle fractures that were initially treated in a cast. Methods We performed a retrospective review of all patients that were treated for a non-displaced (Jakob Type 1 < 2 mm) lateral condyle fracture of the humerus at our institution between 2002 and 2015. Results A total of 59 patients were initially treated with casting. Five fractures displaced and were converted to a closed pinning treatment plan with a conversion rate of 8.5%. There was a mean of 13.2 days (4 to 21) between treatment by initial casting and closed pinning. Conclusion This study demonstrates an 8.5% displacement and conversion rate from cast treatment to closed pinning for initially non-displaced Jakob Type 1 lateral condyle fractures of the humerus. The internal oblique radiograph is most accurate to determine displacement. We recommend obtaining an internal oblique view at initial evaluation and at follow-up in the cast for lateral condyle fractures. To minimize movement at the fracture site, we recommend treating Jakob Type 1 lateral condyle fractures with a long arm cast with the elbow at 90° and the forearm in the supine position with a sling-loop design. Level of Evidence IV – retrospective therapeutic study

scholarly journals Treatment of Gingival Enlargement Induced by Dental Plaque Associated with Local Factors: Case Report

2020 ◽  
pp. 133-136
Author(s):  
Jorge González Quesada
Keyword(s):  
Case Report ◽  
Surgical Approach ◽  
Dental Plaque ◽  
Clinical Case ◽  
Young Patients ◽  
Orthodontic Appliances ◽  
Local Factors ◽  
Dental Biofilm ◽  
Gingival Enlargement ◽  
Respective Treatment

Dental plaque-induced gingival enlargements associated with local factors such as the use of orthodontic appliances are frequently observed in young patients, with inadequate dental biofilm control. Among the recommended therapeutics to treat this condition is the Nonsurgical phase and the surgical approach. A clinical case of a 16-year-old patient with a gingival enlargement and its respective treatment is presented.

scholarly journals GEOMETRICAL MODELS OF MANDIBLE FRACTURE AND PLATE IMPLANT

2018 ◽  
Vol 16 (3) ◽  
pp. 369 ◽  
Author(s):  
Karim Husain ◽  
Mohammed Rashid ◽  
Nikola Vitković ◽  
Jelena Mitić ◽  
Jelena Milovanović ◽  
...  
Keyword(s):  
Maxillofacial Surgery ◽  
Fracture Site ◽  
Oral And Maxillofacial Surgery ◽  
Mandibular Fractures ◽  
Anatomical Features ◽  
Mandible Fracture ◽  
Human Bones ◽  
Fixation Techniques ◽  
Bone Fragments ◽  
The Creation

In the oral and maxillofacial surgery, there is a requirement to provide the best possible treatment for the patient with mandibular fractures. This treatment presumes application of reduction and fixation techniques for proper stabilization of the fracture site. The reduction of the bone fragments and their fixation is much better performed when geometry and morphology of the bone and osteofixation elements (e.g. plates) are properly defined. In this paper, a new healthcare procedure, which enables application of personalized plate implants for the fixation of the mandibular fractures, is presented. Geometrical models of mandible and plate implants, presented in this research, were created by means of the Method of Anatomical Features (MAF), which has been already applied to the creation of accurate geometrical models of various human bones, plates and fixators. By using such geometrically and anatomically accurate models, orthopedic and maxillofacial surgeons can better perform pre-operative tasks of simulating and planning the operation, as well as an intraoperative task of implanting the personalized plate into the patient body.

scholarly journals Treatment of Edentulous Mandibular Fractures with Rigid Internal Fixation: Case Series and Literature Review

2014 ◽  
Vol 7 (1) ◽  
pp. 35-41 ◽  
Author(s):  
Edgardo Franciosi ◽  
Eduardo Mazzaro ◽  
Juan Larranaga ◽  
Alfredo Rios ◽  
Pedro Picco ◽  
...  
Keyword(s):  
Internal Fixation ◽  
Case Series ◽  
Mandibular Fractures ◽  
Rigid Internal Fixation ◽  
Edentulous Mandible ◽  
Mandibular Body ◽  
Fracture Diagnosis ◽  
Low Incidence ◽  
Edentulous Patients ◽  
High Level

The aim of the study is to analyze the effectiveness of rigid internal fixation (RIF) for treating edentulous mandibular fractures. Because of the low incidence of fractures in edentulous mandible, there is no consensus of the optimal treatment for it. This study included all edentulous patients with mandibular fracture diagnosis, who were treated with internal fixation at the Hospital Italiano de Buenos Aires from November 1991 to July 2011. Data such as age, gender, etiology and location of fracture, surgical approach, type of osteosynthesis used, and postoperative complications were analyzed. A total of 18 patients, 76.2 years mean age, 12 females (66.6%), presented a total of 35 mandibular fractures. The mandibular body was the most common localization of the fractures. Twenty-five fractures received surgical treatment with RIF, mainly approached extraorally. Reconstruction plates were the most common type of fixation used. Fracture reduction was considered satisfactory in 96.5%, with 22.2% of complications and 11.1% of reoperations needed. Open reduction and RIF demonstrated to be a reliable method for treating edentulous mandibular fractures. Nevertheless, there is lack of high-level recommendation publication to support this.

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.

Comparison of Preauricular Approach Versus Retromandibular Approach in Management of Condylar Fractures

2021 ◽  
Vol 15 (8) ◽  
pp. 2137-2140
Author(s):  
Ashfaq ur Rahim ◽  
Sadiq Ali ◽  
Muhammad Nauman ◽  
Tannaza Qayyum ◽  
Abdullah Khan ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Maxillofacial Surgery ◽  
Conventional Technique ◽  
Oral And Maxillofacial Surgery ◽  
Mandibular Fractures ◽  
Surgical Methods ◽  
Mandible Fractures ◽  
Preauricular Approach ◽  
Condyle Fracture ◽  
Condylar Fractures

Objectives: Surgical treatment of patients with multiple mandibular fractures involving condylar segments may be a difficult proposition for a maxillofacial surgeon. These fractures can be double or triple fractures of the lower mandible and can also be associated with other fractures of the face. While many authors have suggested that the conventional approach to reducing and stabilizing a mandibular symphysis / para-symphysis fracture is appropriate before addressing a fractured condyle, there is another school of thought that suggests that the condylar segment should be reduced and repaired first. This article aims to review the results of operations where the reduction and fixation of a fractured condyle is performed prior to other associated mandible fractures, and to explore the effectiveness of various surgical methods including preauricular and retromandibular proposed in this case. Place and Duration: In the Oral and Maxillofacial surgery department of Faryal Dental College, Lahore for two-years duration from Jan 2018 to Jan 2020. Material and methods: The study included 60 surgically treated patients with multiple mandible fractures (double / triple), including the condyle component. For treatment of the fractured condylar segments, the preauricular and retromandibular (anterior parotid-transmasseteric) approach was used. Results: Condyle fracture was the first segment to be managed during sequencing of surgical treatment, regardless of the method used. First, good reduction and stabilization have been achieved with limited complications in treating a condyle fracture. Conclusion: While it is the surgeon's prerogative to sort multiple mandible fractures, addressing the condylar segment first provides the operator with a viable alternative to the conventional technique. Key words: condylar fractures, multiple mandibular fractures, preauricular approach, retromandibular approach

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