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

Document Type : Original Article

Authors

1 BP 8127 Libreville Gabon

2 BP 8127 Libreville Gabon HOSPITAL UNIVERSITY CENTER OWENDO

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

Articles in Press, Accepted Manuscript
Available Online from 10 February 2024

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History

  • Receive Date: 14 September 2023
  • Revise Date: 29 April 2024
  • Accept Date: 09 October 2023

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