三个月大婴儿的耻骨联合骨折。
Symphyseal fracture in a three-month-old infant.
机构信息
Plastic Surgery Department, Faculty of Medicine, St George's University Hospitals NHS Foundation Trust, London, UK
Plastic and Reconstructive Surgery Department, Faculty of Medicine, Ain Shams University, Cairo, Egypt.
出版信息
BMJ Case Rep. 2021 Dec 1;14(12):e245661. doi: 10.1136/bcr-2021-245661.
Mandibular fractures are rare in infants, and diagnosis can be easily missed due to the difficulty in obtaining an adequate history and the subtle signs. A high index of suspicion and detailed history taking from the caregiver are mandatory to pick up these cases.There are a plethora of management options that have been reported in dealing with such fractures. They range from conservative management to internal fixation by absorbable plates. While conservative management does not interfere with mandibular growth and teeth development, any surgical intervention can carry this risk. Nevertheless, a severely displaced fracture may need anatomical reduction and fixation to allow early nutrition.This study reports a 3-month-old male infant with a fracture in the mandibular symphysis who underwent reduction of the fracture and circummandibular fixation using immobilisation by an acrylic splint for 4 weeks. His long-term follow-up after 20 months showed adequate dentition with proper healing of the fracture site.
下颌骨骨折在婴儿中较为罕见，由于难以获得充分的病史和细微的体征，诊断容易被忽视。为了发现这些病例，必须高度怀疑并从照顾者那里详细询问病史。在处理这些骨折时，已经有大量的管理选择被报道。它们的范围从保守治疗到可吸收板的内固定。虽然保守治疗不影响下颌骨的生长和牙齿发育，但任何手术干预都可能带来这种风险。然而，严重移位的骨折可能需要解剖复位和固定，以允许早期营养。本研究报告了一例 3 个月大的男性婴儿，其下颌联合部骨折，采用丙烯酸夹板固定 4 周进行骨折复位和环下颌固定。他在 20 个月后的长期随访显示，牙齿排列整齐，骨折部位愈合良好。
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