Medina Aida Carolina
Pediatric Dentistry Department, Universidad Central de Venezuela, Caracas, Venezuela.
Pediatr Dent. 2009 Sep-Oct;31(5):432-7.
Trauma to the mandible may cause condylar fracture (CF). The prevalence of CF in children is low and treatment must focus on possible long-term effects on the growing facial skeleton and soft tissues. Consequences may include functional disturbances, facial asymmetry, mandibular retrusion, temporomandibular joint dysfunction and ankylosis. Conservative treatment, including close observation, soft diet, physiotherapy, and functional appliances, is advised in most cases. The purpose of this report was to describe the case of a pediatric female patient with bilateral condylar fracture. Treatment consisted of physiotherapy and hybrid functional appliances. Satisfactory remodeling of both condyles occurred and normal occlusion and jaw movements were obtained. Close monitoring will continue throughout the 6-year follow-up period and completion of growth. The conservative treatment approach proved successful in this case.
下颌骨创伤可能导致髁突骨折（CF）。儿童髁突骨折的患病率较低，治疗必须关注其对正在生长的面部骨骼和软组织可能产生的长期影响。后果可能包括功能障碍、面部不对称、下颌后缩、颞下颌关节功能障碍和关节强直。在大多数情况下，建议采用保守治疗，包括密切观察、软食、物理治疗和功能性矫治器。本报告的目的是描述一名双侧髁突骨折的儿科女性患者的病例。治疗包括物理治疗和混合功能性矫治器。双侧髁突均实现了满意的重塑，获得了正常的咬合和颌骨运动。在6年的随访期和生长完成期间将持续密切监测。在该病例中，保守治疗方法被证明是成功的。
