Considerations regarding surgical treatment of facial fracture in pediatric patients: case report

Abstract

This article aims to report a clinical case of surgical approach in a pediatric patient with a fracture of the mandibular parasymphysis. A 12-year-old male pediatric patient presented to the oral and maxillofacial outpatient clinic accompanied by a mother, presenting limited mouth opening after a bicycle accident. After a physical examination and evaluation of a tomographic examination of the face, a fracture of the right mandibular parasymphysis was observed, and surgical management was instituted as treatment. Mandibular fractures in pediatric patients require an individual approach seeking less morbidity and restoring adequate aesthetics and function. The surgical approach has achieved good results, and factors such as the patient's age, the level of fracture displacement, the type of fracture, occlusal involvement, and the chronology of tooth eruption should always be considered in the decision-making of the therapeutic approach.