J Korean Assoc Maxillofac Plast Reconstr Surg.  2000 Sep;22(5):555-562.

A clinical study of the pediatric mandibular fractures

• Min SK
• Choi MG
• Oh SH
• Lee DK

Abstract

The jaws of children differ from those of adults in the aspects of architectural and mechanical properties, sites, form and treatment modality. This study reviews the result of treatment of pediatric mandibular fractures between 1994 and 1998 at dept. of Oral & Maxillofacial Surgery, School of dentistry, Wonkwang University by means of the age and sex distribution, mechanism of injury, location of fractures and associated patterns, fracture management, postoperative complications, any associated injuries to other organ systems. Total number of these study was 61 facial bone fractures in 32 patients. The results were as follows. 1. The pediatric mandibular fractures predominated in the age of 6~12, and had no sexual predilection. 2. The main cause of pediatric mandibular fractures was the traffic related accidents(56.2%). 3. The condylar fracture only was 23 cases (37.7%) in total 61 sites of mandibular fractures and the symphysis fracture was 20 (32.7%); the highest incidence of mandibualr fracture was the symphysis with unilateral condyle combined fracture in 61 total mandibular fracture sites. 4. The major postoperative complication was deviation during mouth opening (41.2%) and the facial asymmetry(17.7%) in second. 5. Soft tissue laceration(53%) was the most associated injury with mandibular fracture and the abdominal injury(12.5%), the head injury(12.5%), and the extrimity injury (6.2%) in order.

MeSH Terms

Adult
Child
Dentistry
Facial Bones
Head
Humans
Incidence
Jaw
Mandibular Fractures*
Mouth
Postoperative Complications
Sex Distribution
Surgery, Oral