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KMID : 0360120000220050555
Journal of the Korean Society of Maxillofacial Plastic Reconstructive Surgeons
2000 Volume.22 No. 5 p.555 ~ p.562
A Clinical Study of The Pediatric Mandibular Fractures
¿À½Âȯ/Oh SH
À̵¿±Ù/ÃÖ¹®±â/¹Î½Â±â/Lee DK/Choi MG/Min SK
Abstract
The jaws of children differ from those of adults in the aspects of architectural and mechanical properties, sites, form and treatment modality. This study reviews the result of treatment of pediatric mandibular fractures between 1994 and 1998 at dept. of Oral & Maxillofacial Surgery, School of dentistry, Wonkwang University by means of the age and sex distribution, mechanism of injury, location of fractures and associated patterns, fracture management, postoperative complications, any associated injuries to other organ systems. Total number of these study was 61 facial bone fractures in 32 patients. The results were as follows. 1. The pediatric mandibular fractures predominated in the age of 6~12, and had no sexual predilection. 2. The main cause of pediatric mandibular fractures was the traffic related accidents(56.2%). 3. The condylar fracture only was 23 cases (37.7%) in total 61 sites of mandibular fractures and the symphysis fracture was 20 (32.7%); the highest incidence of mandibualr fracture was the symphysis with unilateral condyle combined fracture in 61 total mandibular fracture sites. 4. The major postoperative complication was deviation during mouth opening (41.2%) and the facial asymmetry(17.7%) in second. 5. Soft tissue laceration(53%) was the most associated injury with mandibular fracture and the abdominal injury(12.5%), the head injury(12.5%), and the extrimity injury (6.2%) in order.
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