Parasymphysial and intracapsular condylar fracture in a pediatric patient managed with resorbable plates: a case report

Authors

  • Fernando Ernesto Díaz Príncipe Hospital Regional 1° de Octubre – ISSSTE, Servicio de Cirugía Oral y Maxilofacial, Ciudad de México, México
  • Mauricio González Rebattú y González Hospital Regional 1° de Octubre – ISSSTE, Servicio de Cirugía Oral y Maxilofacial, Ciudad de México, México
  • Ana María Nieto Mungía Hospital Regional 1° de Octubre – ISSSTE, Servicio de Cirugía Oral y Maxilofacial, Ciudad de México, México
  • Carlos Enrique Muñoz Torres Hospital Regional 1° de Octubre – ISSSTE, Servicio de Cirugía Oral y Maxilofacial, Ciudad de México, México

DOI:

https://doi.org/10.15381/os.v22i3.16713

Keywords:

Mandibular fractures; Open fracture reduction; Fracture fixation internal; Bioresorbable plate; Children (source: MeSH NLM)

Abstract

The mandibular fracture is one of the most common types in pediatric maxillofacial trauma. The main objective of fracture management is the restoration of bone shape and function. Incomplete fractures are more common due to bone elasticity; so, usually the treatment of fractures in children is conservative. Due to the progress on materials bone reparation and technological improvement, currently the proportion of children treated with open reduction and internal fixation (RAFI) has increased. The use of miniplates and miniscrews are the gold standard treatment for craniomaxillofacial semirigid fixation. One alternative are the resorbable materials, which do not require the removal and are gradually degrade. This is a considerable advantage for the management of mandibular fractures in children. We present the case of a 6-year-old patient who suffered a parasympathetic mandibular and condylar fracture. The clinical examination showed limited oral opening and moderate pain on palpation. The radiological evaluation evidenced parasymphyseal and intracapsular fracture traces on the left condyle. These fractures were managed with resorbable plates and conservative treatment, respectively. The result was optimal.

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Author Biographies

  • Fernando Ernesto Díaz Príncipe, Hospital Regional 1° de Octubre – ISSSTE, Servicio de Cirugía Oral y Maxilofacial, Ciudad de México, México

    Universidad Nacional Mayor de San Marcos. Lima, Perú.

    Cirujano Dentista.

  • Mauricio González Rebattú y González, Hospital Regional 1° de Octubre – ISSSTE, Servicio de Cirugía Oral y Maxilofacial, Ciudad de México, México

    Especialista en Cirugía Oral y Maxilofacial.

  • Ana María Nieto Mungía, Hospital Regional 1° de Octubre – ISSSTE, Servicio de Cirugía Oral y Maxilofacial, Ciudad de México, México

    Especialista en Cirugía Oral y Maxilofacial.

  • Carlos Enrique Muñoz Torres, Hospital Regional 1° de Octubre – ISSSTE, Servicio de Cirugía Oral y Maxilofacial, Ciudad de México, México

    Cirujano Dentista.

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Published

2019-09-12

Issue

Section

Clinical Cases

How to Cite

1.
Díaz Príncipe FE, González Rebattú y González M, Nieto Mungía AM, Muñoz Torres CE. Parasymphysial and intracapsular condylar fracture in a pediatric patient managed with resorbable plates: a case report. Odontol Sanmarquina [Internet]. 2019 Sep. 12 [cited 2024 Jul. 17];22(3):219-24. Available from: https://revistasinvestigacion.unmsm.edu.pe/index.php/odont/article/view/16713