Abstract
Maxillofacial fractures in children are not uncommon. The most important fracture of this kind is that of the mandibular condyloid process. Permanent deformities can develop by negligence or mistreatment. The most desirable method of treatment is early application of circumferential wiring of the mandible and perialveolar wiring of the maxilla. Interelastic traction is used for further fixation. This combination of methods serves to immobilize the mandible to the maxilla, helping to splint the fracture during the natural process of repair. During an average of three weeks of immobilization which is sufficient for union, close observation and care of the young patient should be applied. Postanesthesia complications and later nutritional and other disturbances can be avoided if close observation is utilized. Finally, the surgeon who attempts to manage fractures in children must approach the treatment of the fearful or perhaps hysterical child with sympathy and understanding.
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