Wong G B
J Can Dent Assoc. 1993 Sep;59(9):759-60, 763-4.
Mandibular fractures in the pediatric patient population are relatively uncommon. These patients present with their own unique treatment requirements. Most fractures have been treated conservatively by dental splints. Closed reduction techniques with maxillomandibular fixation (MMF) in very young children can pose several concerns, including cooperation, compliance and adequate nutritional intake. Rigid internal fixation of unstable mandibular fractures using miniplates and screws circumvents the need for MMF and allows immediate jaw mobilization. At major pediatric trauma institutions, there has been an increasing trend toward the use of this treatment when open reduction is necessary. This article presents a report of a five-year-old child who presented with bilateral mandibular fractures and was treated by rigid internal fixation and immediate mandibular mobilization.
小儿患者群体中的下颌骨骨折相对少见。这些患者有其独特的治疗需求。大多数骨折一直通过牙弓夹板进行保守治疗。在非常年幼的儿童中，采用颌间固定（MMF）的闭合复位技术可能会引发一些问题，包括合作性、依从性和充足的营养摄入。使用微型钢板和螺钉对不稳定的下颌骨骨折进行坚固内固定，避免了使用颌间固定的必要性，并允许立即进行下颌活动。在主要的小儿创伤机构，当需要切开复位时，使用这种治疗方法的趋势一直在增加。本文报告了一名五岁儿童，其双侧下颌骨骨折，接受了坚固内固定和立即下颌活动治疗。
