Management of Pediatric Fracture Mandible by Closed Reduction Technique: A Case Report

Abstract

The prevalence of facial fractures in children is lower than that of adults, however, this may lead to serious complications. The etiology and epidemiology vary depending on various ethnics and demographic aspects. A fall from heigh had resulted in a right parasymphysial mandibular fracture in an 11-year-old girl. The diagnosis was confirmed by multidetector CT scan. Closed reduction with intermaxillary fixation (IMF) was performed under general anesthesia. The occlusal plane of the mandible was found to be normal by postoperative imaging. There were no complications and the patient was able to achieve both functional and aesthetic results. For pediatric mandibular fractures, closed reduction with IMF is a minimally invasive and cost-effective procedure promoting appropriate alignment, healing, and functional recovery. This strategy is suitable in environments where resources are scarce or sophisticated fixation techniques are unavailable. In the last check up after 3 months in the outpatient clinic the patient showed normal mastication and painless chewing of food with no food or fluid drippling, normal oral occlusion with distortion of all anatomical, functional and cosmetic aspects. Facial symmetry had been restored without any deformities.