Treatment dilemma with displaced sagittal mandibular fractureunder 3 years:A rare case report

Dr. Rajesh B. Dhirawani; Dr. Ankit Sharma; Dr. Indraj Arora; Dr. Irfan Zunzani; Dr. Sanchit Jain

Volume : VI, Issue : VIII, August - 2017

Treatment dilemma with displaced sagittal mandibular fractureunder 3 years:A rare case report

Dr. Rajesh B. Dhirawani, Dr. Ankit Sharma, Dr. Indraj Arora, Dr. Irfan Zunzani, Dr. Sanchit Jain

Abstract :

Aim – Treatment goal is to achieve 3-dimensional stable reduction with minimal functional impairment with displaced saggital split fractures.

Background – Reported incidence of pediatric facial fractures accounts from 0.6 to 1.2 % of total fractures. Falls & road traffic accidents are considered as two main etiologic factors. Management of pediatric mandibular fracture requires thoughtful reconstruction to prevent injury to developing tooth germ & significant growth disturbances.

Case Description – This paper describes a case of 3 years old, male patient with saggital mandibular fracture on right side body region. ORIF was done to gain absolute reduction followed by implant removal after 3 months.

Conclusion – Treatment plan for pediatric mandibular fractures ranges from conservative treatment to closed or open reduction. Achieving 3-dimensional stable reduction with minimal facial impairment is the ultimate treatment objective.

Clinical Significance – Not in all the cases stable occlusion determines 3-dimensional anatomical reduction of bone. Saggital split fracture of pediatric mandibular bone (relatively rare) serves as an indication for ORIF