Abstract
Trauma to the jaw can lead to fracture of the mandibular condyle. Prevalence in children is low and treatment should focus on possible long-term effects on facial bone and soft tissue growth. Trauma can result in dysfunction, facial asymmetry, mandibular retraction, dysfunction and stiffness of the temporomandibular joint. Clinical examination and imaging tests are essential to obtain an accurate diagnosis and an effective treatment to avoid possible complications. Treatment can be surgical or non-surgical, but non-surgical treatment is the method of choice in most cases. The aim of this study is to report a case of mandibular condylar fracture in a pediatric patient who underwent conservative and functional care who, with adequate monitoring by the Maxillofacial Surgery and Traumatology team and family, showed complete remodeling of the fractured bone and total recovery of the dental occlusion. Treatment in pediatric patients through conservative management allows an adequate range of mandibular movement and remodeling at the fracture site, but patient and family adherence to treatment is very important to obtain good results.
Highlights
Facial fractures in paediatric patients are unusual
The purpose of this article is to report a case of a mandibular condyle fracture in a paediatric patient undergoing conservative and functional care which, with proper monitoring of the OMS team and family members, presented complete remodeling of the fractured bone and total dental occlusion recovery
The work was not submitted to the ethics and research committee, as it is a case report, whose procedure to be performed was not experimental
Summary
Facial fractures in paediatric patients are unusual. Due to ongoing facial growth in children, facial trauma when inappropriately diagnosed or treated can result in deformities and asymmetry (Fonseca, Walker, Barber, Powers & Frost, 2015)There are three main types of treatment: surgery with open reduction and internal fixation; and conservative treatment, with or without maxillomandibular fixation (MMF). Conservative management is known to be non-invasive and minimally challenging, avoiding the potential risks of open surgical procedures and providing as minimal deleterious effects on the temporomandibular joint as possible (Ghasemzadeh, Mundinger, Swanson, Utria & Amir, 2015). This type of treatment is considered to be the standard, allows early intra-articular recovery and eliminates additional intracapsular trauma that may cause future limitations due to the potential for bone remodelling at condyle level in paediatric patients (Ghasemzadeh et al, 2015).
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