| Abstrakt: |
Introduction: Mandibular fractures are the second-most common fractures of the face after nasal bone. Mandibular symphyseal/parasymphyseal fracture comprises 15.6%-29.3% of total mandibular fractures. Mandibular fractures are very rare in the pediatric population. However, mandibular fractures are the most common (56%) form of facial skeleton injury in hospitalized pediatric trauma patients. Because of the unique anatomy, dentition, and growth of a child, the management of a pediatric mandibular fracture is quite complicated. Case Report: A 5-year-old child came with the chief complaint of pain, swelling, and asymmetry of the face. The parents gave a history of road traffic accidents 5 days back. After examination and diagnosis by radiograph, treatment was planned with circummandibular wiring with cap splint. The patient was operated under general anesthesia, and follow-up was done for 6 months. Clinical Significance: Postoperative monitoring was done and no complications were noted. Knowledge of the association of dental injuries and maxillofacial fracture is a basic tool for their prevention. Majority of body or parasymphysis fracture of the mandible, in pediatric patients, are undisplaced due to embedded tooth buds, that holds the fragments together. If displaced, closed reduction and immobilization are preferred. Cap splint provides closed reduction and stabilization of mandibular fracture and allows hygiene maintenance without disturbing the growing tooth buds of the child. [ABSTRACT FROM AUTHOR] |
