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弹性夹板固定:一种治疗小儿下颌骨骨折伴创伤性骨缺损的微创方法。

Flexible Splinting: A Minimally Invasive Approach to Managing a Pediatric Mandibular Fracture With Traumatic Bone Loss.

作者信息

K Fasna, Jindal Mahendra Kumar, Atif Mohammad, Khan Saima Y

机构信息

Department of Pediatric and Preventive Dentistry, Dr. Ziauddin Ahmad Dental College, Aligarh Muslim University, Aligarh, IND.

出版信息

Cureus. 2025 Jul 1;17(7):e87098. doi: 10.7759/cureus.87098. eCollection 2025 Jul.

Abstract

Pediatric mandibular fractures necessitate a specialized treatment approach due to the complexities of craniofacial development, dentition, and active bony growth centers. This case report describes the management of an eight-year-old boy who sustained a mandibular fracture with the traumatic loss of a triangular bone fragment following a fall. Clinical and radiographic evaluation confirmed a compound comminuted fracture of the mandibular body. Given the minimal segmental mobility and intact occlusion, a conservative approach using flexible splinting with composite and braided stainless steel wire was adopted. The patient showed successful healing with complete bone formation at the fracture site after 12 months of follow-up. This case underscores the effectiveness of a minimally invasive approach for managing pediatric mandibular fractures, with the added benefits of preserving growth potential and minimizing complications.

摘要

由于颅面发育、牙列和活跃的骨生长中心的复杂性,小儿下颌骨骨折需要一种专门的治疗方法。本病例报告描述了一名8岁男孩的治疗情况,该男孩跌倒后下颌骨骨折并伴有一个三角形骨碎片的外伤性丢失。临床和影像学评估证实为下颌骨体部复合粉碎性骨折。鉴于节段性活动度极小且咬合完整,采用了使用复合树脂和编织不锈钢丝进行弹性固定的保守方法。经过12个月的随访,患者骨折部位成功愈合,骨完全形成。本病例强调了微创方法治疗小儿下颌骨骨折的有效性,同时具有保留生长潜力和减少并发症的额外益处。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3b23/12314014/92b2979e3e1e/cureus-0017-00000087098-i01.jpg

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