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小儿下颌骨骨折管理的创新策略

Innovative Strategies in Management of Pediatric Mandibular Fractures.

作者信息

Ticku Smriti, Shah Sonal, Bm Rudagi, Raghavan Ria, Bhagat Bhushan, Agarwal Neha

机构信息

Department of Oral and Maxillofacial Surgery, Dr. D. Y. Patil Dental College and Hospital, Dr. D. Y. Patil Vidyapeeth, (Deemed to be University), Pune, Maharashtra, India.

出版信息

Int J Clin Pediatr Dent. 2025 Feb;18(2):231-234. doi: 10.5005/jp-journals-10005-3044. Epub 2025 Mar 20.

Abstract

OBJECTIVES

To employ three novel techniques and evaluate their results in the management of pediatric mandibular fractures.

CASE DISCUSSION

Three cases of pediatric mandible fracture were chosen. The use of impression compound as a cap splint, use of hooks for maxillomandibular fixation, and circummandibular wiring with stainless steel wire were evaluated for their results. Preoperative computed tomography (CT) scans and postoperative orthopantomograms were carried out to evaluate the results. Patients were evaluated for fracture site healing and their ability to perform functional movements easily.

RESULTS

The fracture healing was found out to be satisfactory, with patients being able to resume routine function within 6 weeks post-trauma.

CONCLUSION

The management of pediatric fractures can be surgically challenging due to the involvement of permanent tooth buds and the need for patient compliance. Our techniques have simplified the process of overcoming both challenges, and we recommend the routine use of these techniques for the management of pediatric trauma cases.

CLINICAL SIGNIFICANCE

Managing pediatric mandibular fractures is a challenging task due to the unique characteristics of children's jaw structure. Traditionally, these fractures are addressed using conventional closed reduction techniques. However, the authors have implemented three distinct techniques to address pediatric fractures that prioritize patient compliance, overcome financial constraints, and achieve shorter recovery times.

HOW TO CITE THIS ARTICLE

Ticku S, Shah S, Rudagi BM, Innovative Strategies in Management of Pediatric Mandibular Fractures. Int J Clin Pediatr Dent 2025;18(2):231-234.

摘要

目的

采用三种新技术并评估其在小儿下颌骨骨折治疗中的效果。

病例讨论

选取三例小儿下颌骨骨折病例。评估了使用印模膏作为帽状夹板、使用挂钩进行颌间固定以及用不锈钢丝进行下颌骨周围结扎的效果。术前行计算机断层扫描(CT),术后行曲面断层片检查以评估效果。对患者的骨折部位愈合情况及其轻松进行功能活动的能力进行评估。

结果

发现骨折愈合情况令人满意,患者在创伤后6周内能够恢复日常功能。

结论

由于恒牙胚的累及以及患者配合的需要,小儿骨折的治疗在手术上具有挑战性。我们的技术简化了克服这两个挑战的过程,我们建议常规使用这些技术来治疗小儿创伤病例。

临床意义

由于儿童颌骨结构的独特特点,治疗小儿下颌骨骨折是一项具有挑战性的任务。传统上,这些骨折采用传统的闭合复位技术处理。然而,作者实施了三种不同的技术来治疗小儿骨折,这些技术优先考虑患者的配合、克服经济限制并实现更短的恢复时间。

如何引用本文

蒂库S、沙阿S、鲁达吉BM,《小儿下颌骨骨折治疗的创新策略》。《国际临床儿科牙科学杂志》2025年;18(2):231 - 234。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/51f6/12099255/086a2b4f18f9/ijcpd-18-2-231-g001.jpg

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