Mouzourakis Maggie M, Seo Sarah S, Oral Resmiye
Section of Otolaryngology, Department of Surgery, Dartmouth-Hitchcock Medical Center, Lebanon NH, USA.
Surgery, Geisel School of Medicine, Lebanon NH, USA.
Case Rep Dent. 2023 Oct 4;2023:7611475. doi: 10.1155/2023/7611475. eCollection 2023.
While mandibular fractures represent the most common craniofacial injury in the pediatric population, craniofacial fractures in infants are rare. Diagnosis is challenging with nonspecific presenting symptoms and often limited radiographic imaging. We report a case of nondisplaced mandibular condylar head fractures in a 3-month-old patient as a result of a fall with impact onto the chin, with associated sublingual hematoma (Coleman's sign). Although the initially observed sole finding of sublingual hematoma raised concern for child physical abuse, detailed history, oral exam, and multidisciplinary review of radiologic records by pediatrics, otolaryngology, and child protection teams established the accidental trauma diagnosis. The patient was managed conservatively with normal resumption of feeding. Detailed history and multidisciplinary approach to the management of pediatric facial trauma are important in establishing diagnoses and management.
虽然下颌骨骨折是儿科人群中最常见的颅面损伤，但婴儿的颅面骨折却很少见。由于症状不具特异性且影像学检查往往受限，诊断颇具挑战性。我们报告一例3个月大的患儿因下巴着地摔倒导致下颌骨髁突头无移位骨折，并伴有舌下血肿（科尔曼征）。尽管最初观察到的唯一发现是舌下血肿，这引起了对儿童身体虐待的担忧，但详细的病史、口腔检查以及儿科、耳鼻喉科和儿童保护团队对放射学记录的多学科评估确定了意外创伤的诊断。该患者采用保守治疗，喂养正常恢复。详细的病史和多学科方法在小儿面部创伤的诊断和管理中很重要。
