환악 결찰술을 이용한 소아 하악 골절의 보존적 치료: 증례보고
The conservative treatment of mandibular fracture in a child with circummandibular wiring: case report
2
조회
0
다운로드
0
인용
0
참고문헌
키워드
초록
Maxillofacial injuries are less common in children than in adolescents and adults. This lower incidence is a result of the relatively small size of mandible, the resilient nature of the bones, and a relatively protected environment, which distinguish the treatment principles of pediatric mandibular fractures from those of the adult. The bone of child is malleable, so pediatric fractures tend to be less displaced and rarely comminuted. Moreover, high regeneration potential of the wound allows more conservative treatment modalities for the pediatric mandibular fracture. High risk of damaging unerupted tooth bud renders many clinicians to resort to more conservative treatment modality for the reduction of displaced segments. This case report describes two successful treatment cases using the circummandibular wiring which was applicated to the fracture on parasymphysis of mandible. Circummandibular wiring can protect the tooth buds, and there is no need for intermaxillary fixation so that it prevents the possible complications of intermaxillary fixation such as the temporomandibular joint ankylosis and the facial growth disturbances. The acrylic splint was removed after 3 weeks, which showed clinically good union across the fracture line without complications. They showed complete clinical and radiological bone healing with an optimum occlusion.
Abstract
Maxillofacial injuries are less common in children than in adolescents and adults. This lower incidence is a result of the relatively small size of mandible, the resilient nature of the bones, and a relatively protected environment, which distinguish the treatment principles of pediatric mandibular fractures from those of the adult. The bone of child is malleable, so pediatric fractures tend to be less displaced and rarely comminuted. Moreover, high regeneration potential of the wound allows more conservative treatment modalities for the pediatric mandibular fracture. High risk of damaging unerupted tooth bud renders many clinicians to resort to more conservative treatment modality for the reduction of displaced segments. This case report describes two successful treatment cases using the circummandibular wiring which was applicated to the fracture on parasymphysis of mandible. Circummandibular wiring can protect the tooth buds, and there is no need for intermaxillary fixation so that it prevents the possible complications of intermaxillary fixation such as the temporomandibular joint ankylosis and the facial growth disturbances. The acrylic splint was removed after 3 weeks, which showed clinically good union across the fracture line without complications. They showed complete clinical and radiological bone healing with an optimum occlusion.
참고문헌 (16)
- McGraw BL, "Pediatric maxillofacial trauma. Age-related variations in injury", Arch Otolaryngol Head Neck Surg, 116, pp.41~45 (1990)
- Iida S, "Paediatiric maxillofacial fractures: their aetiological characters and fracture patterns", J Craniomaxillofac Surg, 30, pp.237~241 (2002)
- Qadri GW, "Paediatric mandibular fractures: report of a case", Dent Traumatol, 24, pp.67~70 (2008)
- Imola MJ, "Resorbable plate fixation in pediatiric craniofacial surgery: longterm outcome", Arch Facial Plast Surg, 3, pp.79~90 (2001)
- Pyo SW, "Circum-mandibular wirng for pediatric mandibular fracture: case report", J Korean Assoc Oral Maxillofac Surg, 21, pp.619~626 (1995)
- Dodson TB, "Mandibular fractures in children. In: OMS Knowledge Update, Vol. 1, Part II", pp.95~107 (1995), AAOMS Publishing
- Adi M, "An analysis of mandibular fractures in Dundee, Scotland (1977 to 1985)", Br J Oral Maxillofac Surg, 28, pp.194~199 (1990)
- Lehman JA Jr, "Fractures of the mandible in children", J Trauma, 16, pp.773~777 (1976)
- Posnick JC, "Pediatric facial fractures: evolving patterns of treatment", J Oral Maxillofac Surg, 51, pp.836~844 (1993)
- MacLennan WD, "Fractures of the mandible in children under the age of six years", Br J Plast Surg, 9, pp.125~128 (1956)
- Gussack GS, "Pediatric maxillofacial trauma: unique features in diagnosis and treatment", Laryngoscope, 97, pp.925~930 (1987)
- Kaban LB, "Pediatric oral and maxillofacial surgery" (2004), WB Saunders
- Anderson PJ, "Fractures of the facial skeleton in children", Injury, 26, pp.47~50 (1995)
- Kaban LB, "Facial fractures in children: an analysis of 122 fractures in 109 patients", Plast Reconstr Surg, 59, pp.15~20 (1977)
- Alexander R, "An accurate method for open reduction and internal fixation of high and low condylar process fractures", J Oral Maxillofac Surg, 52, pp.808~812 (1994)
- Re′mi M, "Mandibular fractures in children: long term results", Int J Pediatr Otorhinolaryngol, 67, pp.25~30 (2003)