Displaced Mandibular Body Fracture in a Preschool Child: A Case Managed by Closed Reduction
Mekhaeel Shehata Fakhry Mekhaeel, Salem Mohamed Ahmed Eissa Sameh, Hassan Mohamed Khaled Talaat Youssef, Aida Jahanbekam, Fatemeh Hassannezhad Neissi, Ali Sharifzadeh Ghazani, Bahar Behroozi, Kambiz Ebrahimi, Tahoura Talebidelooei
Asian Journal of Case Reports in Surgery · pp. 838–845 · Published 10 Dec 2025
10.9734/ajcrs/2025/v8i2727Abstract
The management of mandibular fractures in pediatric patients is complicated by the presence of developing tooth buds and growth centers, making conservative approaches often preferable to avoid iatrogenic injury. This report details the application of such a principle in a 4-year-old male who sustained a displaced left mandibular body fracture after a fall. Confirmed by CT scan, the fracture was managed successfully with closed reduction and maxillomandibular fixation (MMF) using arch bars and elastics, performed entirely via an intraoral approach. The 30-minute procedure resulted in an excellent outcome, with the patient achieving full restoration of function and aesthetics after a four-week fixation period and no complications. This case demonstrates that closed reduction with MMF is a highly effective, minimally invasive strategy for managing select mandibular fractures in young children, preserving growth potential while ensuring optimal recovery.
Cited by 1
M. S. F. Mekhaeel, S. Salem, A. Protasov · Surgery Case Reports · 2026
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