A Preschooler's Displaced Mandibular Body Fracture: A Closed Reduction Case Study
Mekhaeel Shehata Fakhry Mekhaeel
Department of Operative Surgery and Clinical Anatomy Named after I.D. Kirpatovsky, Medical Institute, Peoples' Friendship University of Russia Named after Patrice Lumumba (RUDN University), Moscow, Russia.
Salem Mohamed Ahmed Eissa Sameh
Department of Operative Surgery and Clinical Anatomy Named after I.D. Kirpatovsky, Medical Institute, Peoples' Friendship University of Russia Named after Patrice Lumumba (RUDN University), Moscow, Russia.
Hassan Mohamed Khaled Talaat Youssef *
Department of Oral and Maxillofacial Surgery, Medical Institute, Peoples' Friendship University of Russia Named after Patrice Lumumba, Moscow, Russia.
Aida Jahanbekam
Department of Oral and Maxillofacial Surgery, Medical Institute, Peoples' Friendship University of Russia Named after Patrice Lumumba, Moscow, Russia.
Fatemeh Hassannezhad Neissi
Department of Oral and Maxillofacial Surgery, Medical Institute, Peoples' Friendship University of Russia Named after Patrice Lumumba, Moscow, Russia.
Ali Sharifzadeh Ghazani
Department of Oral and Maxillofacial Surgery, Medical Institute, Peoples' Friendship University of Russia Named after Patrice Lumumba, Moscow, Russia.
Bahar Behroozi
Department of Oral and Maxillofacial Surgery, Medical Institute, Peoples' Friendship University of Russia Named after Patrice Lumumba, Moscow, Russia.
Kambiz Ebrahimi
Department of Oral and Maxillofacial Surgery, Medical Institute, Peoples' Friendship University of Russia Named after Patrice Lumumba, Moscow, Russia.
Tahoura Talebidelooei
Department of Oral and Maxillofacial Surgery, Medical Institute, Peoples' Friendship University of Russia Named after Patrice Lumumba, Moscow, Russia.
*Author to whom correspondence should be addressed.
Abstract
Because developing tooth buds and development centres make treating mandibular fractures in young patients more difficult, conservative approaches are often used to avoid iatrogenic damage. This report describes the application of this approach to a 4-year-old kid who had a displaced left mandibular body fracture after a fall. A CT scan verified that the fracture was successfully treated with closed reduction and maxillomandibular fixation (MMF), which was performed completely intraorally using arch bars and elastics. The 30-minute procedure yielded an excellent outcome with no issues, and the patient's function and appearance were entirely restored after a four-week fixing period. This case study demonstrates that closed reduction with MMF is a highly effective, minimally invasive approach for treating some mandibular fractures in young children while preserving growth potential and ensuring proper healing.
Keywords: Pediatric mandibular fracture, closed reduction, maxillomandibular fixation, conservative management, intraoral approach