Main Article Content
The present study analysed 10 cases of paediatric mandibular fractures, epidemiology and treatment strategies. A systematic retrospective analysis of 10 paediatric patients who had undergone surgery for maxillofacial trauma in our department of oral and maxillofacial surgery, PMNM Dental College and hospital, North Karnataka were included in this study. The data collected was analysed to determine the prevalence of mandibular fracture with respect to particular age group, sex, etiology, commonest fracture site and the method of management. The most common is parasymphysis fracture which account for 61.53% of cases followed by condylar fracture (23.07%). Multiple fractures (20%) are less common. Pediatric mandibular fractures (5%) are rare compared to adults. The reasons cited include relatively small volume of facial mass compared to calvarium, resilience of paediatric skeleton and the protected environment in which the children live. Mangement of pediatric mandibular fractures is certainly a dilemma to surgeons due to developing dentition, growing mandible, deficit of co-operation due to age, future complications, and compromise in esthetics and function which may develop.
Iida S, Matsuya T. Pediatric maxillofacial fractures: Their etiological characters and fracture patterns. J Craniomaxillofac Surg. 2002;30:237-41.
Dodson TB. Mandibular fractures in children. OMS Knowledge Update. 1995;1: 95-107.
Kaban LB. Facial trauma I: Midface fractures. In: Kaban LB, Ed. Pediatric Oral and Maxillofacial Surgery. Philadelphia, PA: W.B. Saunders. 1990;209-232.
Eppley BL. Use of resorbable plates and screws in pediatric facial fractures. Oral Maxillofac Surg. 2005;63:385-91.
McGraw BL, Cole RR. Pediatric maxillofacial trauma. Age-related variations in injury. Arch Otolaryngol Head Neck Surg. 1990;116:41-45.
Zimmermann CE, Troulis MJ, Kaban LB. Pediatric facial fractures: Recent advances in prevention, diagnosis and management. International Journal of Oral and Maxillofacial Surgery. 2005;34(8):823-33.
Acton CH, Nixon JW, Clark RC. Bicycle riding and oral/maxillofacial trauma in young children. Med J Aust. 1996;165:249-251.
Demianczuk AN, Verchere C, Phillips JH. The effect on facial growth of pediatric mandibular fractures. J Craniofac Surg. 1999;10:323-328.
Patrick Cole, Yoav Kaufman, Larry H. Hollier Jr. Managing the pediatric facial fracture. Craniomaxillofac Trauma Reconstr. 2009;2(2):77–83.
Gussack GS, Luterman A, Powell RW, Rodgers K, Ramenofsky ML. Pediatric maxillofacial trauma: Unique features in diagnosis and treatment. Laryngoscope. 1987;97:925–930.
Sharma S, Vashistha A, Chugh A, et al. Pediatric mandibular fractures: A review. Int J Clin Pediatr Dent. 2009;2(2): 1–5.
Kaban LB, Mulliken JB, Murray JE. Facial fractures in children: An analysis of 122 fractures in 109 patients. Plast Reconstr Surg. 1977;59(1):15–20.
Ferreira PC, Amarante JM, Silva PN, Rodrigues JM, Choupina MP, Silva AC, et al. Retrospective study of 1251 maxillofacial fractures in children and adolescents. Plast Reconstr Surg. 2005;115:1500-8.
Agarwal RM, Yeluri R, Singh C, Chaudhry K, Munshi AK. Management of pediatric mandibular fracture: A case series. Compend Contin Educ Dent. 2014;35(8): 578-82.