Clinical Analysis of Pediatric Mandibular Fractures.

Ha, Sung Uk; Park, Jung Min; Lee, Keun Cheol; Kim, Seok Kwun

Original Article

Journal of Korean Cleft Palate-Craniofacial Association 2006;7(1):8-12.

Sung Uk Ha, Jung Min Park, Keun Cheol Lee, Seok Kwun Kim

Department of Plastic & Reconstructive Surgery, College of Medicine, Dong-A University, Busan, Korea. jmpark@daunet.donga.ac.kr

Abstract

This retrospective study comprised 50 patients(57 fractures) with pediatric mandibular fractures sustained in various accidents and treated in the Department of Plastic and Reconstructive Surgery at the Dong-A Medical Center from September 1990 till May 2005. These patient's medical records were then retrospectively analysed in order to gain insight into a clinical pattern. 1.The seasonal and monthly incidence was the highest in Summer and August, the commonest accident time was between 12:00 p.m and 06:00 p.m. 2.The highest incidence in the age was between seven and nine years old, with male predominating over female in 1.7:1 ratio. 3.The most common cause of mandibular fractures was motor vehicle accidents followed by fall, exercise accident and others. 4.Nasal bone fracture was the commonest associate facial bone fracture. 5.Open reduction was done in 59% of total cases. 6.The cases of condyle fracture were treated with closed reduction or conservative management. Complications were malocclusion(4), TMJ limitation(2), asymmetry(2).

Keywords: Pediatric mandibular fracture; Clinical pattern