PEDIATRIC MANDIBULAR FRACTURES : INSIGHTS INTO EPIDEMIOLOGY AND TREATMENT AT OWENDO TEACHING HOSPITAL | ||||
| Egyptian Journal of Oral and Maxillofacial Surgery | ||||
| Volume 14, Issue 4, October 2023, Page 116-120 PDF (313.34 K) | ||||
| Document Type: Original Article | ||||
| DOI: 10.21608/OMX.2023.236565.1206 | ||||
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| Authors | ||||
| MAKUNGU A.P.* ; ZUE H H; NSA L.C; MANDZA L. | ||||
| 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 | ||||
| Pediatric Mandibular Fracture; Childhood; Epidemiology; Treatment; Gabon | ||||
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