Abstract
Retrospective analysis of 231 pediatric mandible fractures treated from 1982 to 1996 at the University Hospital of Gottingen showed significant differences in the treatment modalities in different anatomical areas of the mandible. Alveolar fractures were treated by traditional splinting of the teeth. Condylar fractures (129 cases) were treated by closed reduction and “early functional treatment”. This consists of archbars in the maxilla and mandible and applying a fulcrum on the distal molar of the affected side and frontal elastics. It is regarded as a “callusdistraction” under limited function. No case of severe complication of ankylosis was observed. Fractures of the mandibular body (91 cases), however, were mainly treated by open reduction and plate and screw fixation (71 cases). In none of the cases was MMF applied after surgery. No severe complications were observed. In conclusion, rigid fixation of mandibular body fractures in children using plating systems of adequate dimension within the different age groups can be recommended. It provides immediate function of the mandible and, consequently, comfort to the patient.
Sign-in/Register to access full text options 
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a callMore From: Operative Techniques in Plastic and Reconstructive Surgery
Disclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.
