PEDIATRIC MANDIBULAR FRACTURES : INSIGHTS INTO EPIDEMIOLOGY AND TREATMENT AT OWENDO TEACHING HOSPITAL

Document Type : Original Article

Authors

Department of Maxillofacial Stomatology and Surgery at CHUO Libreville, Gabon

Abstract

Introduction : Managing mandibular fractures in children is challenging due to their developing mandible and evolving
dentition. This study aims to investigate the epidemiological and therapeutic dimensions of pediatric mandibular fractures.
Materials and methods : This retrospective and descriptive study, from 2016 to 2022. It encompasses cases of isolated or
concomitant mandibular fractures, cases involving pathological bone, and those with incomplete records. Parameters examined
include frequency, age, gender, place of residence, etiology, time of presentation, fracture location, intervention timing,
treatment modality, surgical technique, patient outcomes, complications, and sequelae.
Results : A total of 57 cases were included in the study, representing a frequency of 47.1%. The average age of the patients
was 9.2 years. Boys was found in 82.5%, resulting in a sex ratio of 4.7. Motor vehicle accidents were responsible for 53% of
the fractures. The para-symphyseal region was 35.4% fractured. Bloody treatment was utilized in 65% of cases, while 7.0% of
patients received a combination of functional treatment and osteosynthesis. Complications were observed in 12.3% of patients,
and 10.6% experienced sequelae.
Conclusion : Mandibular fractures are prevalent among older, male children, with public road accidents being the leading cause
and the osteosynthesis emerges as the preferred treatment modality.

Keywords

Egyptian Journal of Oral and Maxillofacial Surgery
Volume 14, Issue 4
October 2023
Pages 116-120

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History

  • Receive Date: 14 September 2023
  • Revise Date: 16 September 2023
  • Accept Date: 09 October 2023

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