A Complex Facial Trauma Case with Multiple Mandibular Fractures and Dentoalveolar Injuries.

Yeliz Guven,Abdulkadir Burak Cankaya,Sevgi Zorlu,Koray Gencay,Oya Aktoren

doi:10.1155/2015/301013

Yeliz Guven, Abdulkadir Burak Cankaya + Show 3 more

Open Access

https://doi.org/10.1155/2015/301013

Copy DOI

Abstract

The principles of management of mandibular fractures differ in children when compared to adults and depend on the specific age-related status of the growing mandible and the developing dentition. This paper presents a case report with a complex facial trauma affecting the mandibular body and condyle region and dentoalveolar complex. Clinical examination revealed soft tissue injuries, limited mouth opening, lateral deviation of the mandible, an avulsed incisor, a subluxated incisor, and a fractured crown. CBCT examination revealed a nondisplaced fracture and an oblique greenstick fracture of the mandibular body and unilateral fracture of the condyle. Closed reduction technique was chosen to manage fractures of the mandible. Favorable healing outcomes on multiple fractures of the mandible throughout the 6-year follow-up period proved the success of the conservative treatment. This case report is important since it presents a variety of pathological sequelae to trauma within one case.

Highlights

Less than 15% of all facial fractures take place in pediatric age groups and these occur very rarely (1%) in children under 5 years of age
Mandibular fractures are the most common facial fractures seen in hospitalized children
The diagnosis should be confirmed by panoramic or posteroanterior mandible radiographs, or if possible by cone beam computed tomography (CBCT) radiographs

Summary

Introduction

Less than 15% of all facial fractures take place in pediatric age groups and these occur very rarely (1%) in children under 5 years of age. The most frequent site of pediatric mandibular fractures is the condylar region, followed by the symphysis/parasymphysis, angle, and body, respectively [5,6,7]. In growing children, it should be remembered that the management of injuries to the mandible has significant implications with respect to future craniofacial growth, development, and function [7, 9]. The purpose of this case report is to present the clinical and radiographic evaluation and management of a child who suffered a facial trauma resulting in fractures of the mandibular body and condyle, tooth avulsion, and horizontal root fracture.

Case Presentation

Findings

Discussion

Conclusion