Alberth M, Szilágyi Z, Póti S, Redl P
Debreceni Orvostudományi Egyetem, Fogászati Klinika, Debrecen.
Fogorv Sz. 1997 Feb;90(2):49-53.
Maxillofacial fractures under 10 years of age are uncommon, with an occurrence of 7.3%. Isolated fractures of the mandible are even more rare, due to the fact that in young children the mandible is relatively small and resilient. Some authors suggest that the occurrence of this form of fracture is about 1-5%. Different methods have been described for treatment of fractures off the mandible in children. In the therapy since the introduction of titanium mini plates the trend has been to select surgical repositioning followed by osteosynthesis. This paper describes the management of a 7-month old boy with isolated mandibular fracture, using this method to avoid the damage of the tooth germs. This particular case raises the issue of child abuse, which is on the increase in Hungary as well. To find a kind of solution would be not only a task of dentists but also of society in general.
10岁以下的颌面骨折并不常见，发生率为7.3%。下颌骨孤立性骨折更为罕见，因为幼儿的下颌骨相对较小且有弹性。一些作者认为这种骨折形式的发生率约为1%-5%。已有多种治疗儿童下颌骨骨折的方法被描述。自钛微型接骨板引入治疗以来，趋势是选择手术复位并随后进行骨合成。本文描述了一名7个月大孤立性下颌骨骨折男婴的治疗过程，采用这种方法以避免牙胚受损。这一特殊案例引发了虐待儿童的问题，匈牙利的此类事件也在增加。找到一种解决方案不仅是牙医的任务，也是整个社会的任务。
