Fractures of the Growing Mandible

George M. Kushner, Paul S. Tiwana

Research output: Contribution to journalReview article

20 Scopus citations

Abstract

Oral and maxillofacial surgeons must constantly weigh the risks of surgical intervention for pediatric mandible fractures against the wonderful healing capacity of children. The majority of pediatric mandibular fractures can be managed with closed techniques using short periods of maxillomandibular fixation or training elastics alone. Generally, the use of plate- and screw-type internal fixation is reserved for difficult fractures. This article details general and special considerations for this surgery including: craniofacial growth & development, surgical anatomy, epidemiology evaluation, various fractures, the role rigid internal fixation and the Risdon cable in pediatric maxillofacial trauma. It concludes with suggestions concerning long-term follow-up care in light of the mobility, insurance obstacles, and family dynamics facing the patient population.

Original languageEnglish (US)
Pages (from-to)81-91
Number of pages11
JournalAtlas of the Oral and Maxillofacial Surgery Clinics of North America
Volume17
Issue number1
DOIs
StatePublished - Mar 1 2009

ASJC Scopus subject areas

  • Surgery
  • Oral Surgery

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