儿童下颌骨骨折的治疗:15年的回顾性分析研究。

IF 0.6 Q4 DENTISTRY, ORAL SURGERY & MEDICINE
Journal of Maxillofacial & Oral Surgery Pub Date : 2025-10-01 Epub Date: 2025-02-10 DOI:10.1007/s12663-025-02488-2
Vivek Sunil Nair, Rajshekhar Halli, Shandilya Ramanojam, Rajesh Kshirsagar, Vikrant Sane, Sudhir Pawar
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引用次数: 0

摘要

背景:幼儿下颌骨骨折的处理是口腔颌面外科最矛盾的主题之一,为口腔外科医生提供了几个独特的挑战。目前尚无文献标准来确定这些骨折的最佳治疗方式。决定这些骨折治疗计划的重要方面是年龄、牙齿发育阶段和骨折的性质。方法:电子检索与小儿下颌骨骨折及其治疗直接相关的文献。使用多个单词和单词组合在不同的数据库中进行搜索。纳入的文章包括从1984年到2022年发表的原创研究论文、病例报告和评论文章。结果:我们介绍了我们在2007年5月至2022年3月15年间在我科治疗的36例儿童下颌骨骨折的经验,并对文献进行了回顾。乳牙列组骨折发生率为22%,混合牙列组为36%,恒牙列组为42%。在我们的研究中,36例中有23例(64%)是最常见的副骨骨折,其次是10例(28%)体骨折,第二常见。在我们的记录中,突出的病因,36例中有31例是运动损伤和自行车摔倒。在36例中,14例使用夹板,5例使用骨水泥,9例使用下颌周金属丝。19例进行切开复位和固定,其中1例采用可吸收钢板和螺钉。我们,作者,认为在文献中有一个相对清晰的观点,关于不完全,青枝状和单纯性儿童下颌骨骨折的处理。当涉及到复杂骨折的处理问题时,无论是移位还是粉碎性,争议逐渐增加。结论:我们认为对文献的回顾也将指导我们了解预防措施的重要性。监督成年人,如教练、管理人员、老师和家长,都应该接受教育。应鼓励儿童养成适当的习惯,以减少运动相关伤害的发生率和严重程度。此外,我们应该鼓励使用座椅约束、常规安全带、防护头盔、护嘴器和其他措施。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Management of Pediatric Mandibular Fractures: A Narrative Review and Retrospective Analytical Study of 15 Years.

Background: The management of mandibular fractures in young children is one of the most contradictory themes of oral and maxillofacial surgery and offers several unique challenges for the oral surgeon. No literature criteria have been established to determine the best treatment modality for these fractures. Important aspects determining treatment planning of these fractures are age, stage of tooth development, and nature of the fracture.

Methods: An electronic search of the literature directly relating to pediatric mandibular fracture and its management was conducted. Multiple words and combinations of words were used to search on different databases. The articles included were original research papers, case reports, and review articles published from 1984 through 2022.

Results: We are presenting our experience of 36 pediatric mandibular fractures managed in our department between May 2007 and March 2022, a period of fifteen years along with a review of the literature. The incidence of fractures was 22% in deciduous dentition group while the mixed and permanent dentition groups showed 36% and 42%, respectively. In our study, 23 out of 36 (64%) were parasymphysis fractures being most common followed by 10 (28%) body fractures, the second most common. In our records, prominent etiologies, 31 out of 36 were sports injuries and bicycle falls. Out of 36, we did splinting in 14 cases, 5 cemented, and 9 using circummandibular wiring. Open reduction and fixation were performed in 19 cases, having a single case with resorbable plates and screws. We, the authors, feel there is a relatively clearer opinion in the literature about the management of incomplete, greenstick, and simple pediatric mandibular fractures. Controversies increase gradually when questions come to the management of complex fractures, whether displaced or comminuted.

Conclusion: We feel that this review of the literature will guide us about the importance of preventive measures also. Supervising adults, like coaches, administrators, teachers, and parents, should be educated. Children should be encouraged to develop appropriate habits to decrease the incidence and severity of sports-related injuries. Also, we should invigorate the use of seat restraints, conventional seat belts, protective helmets, mouth guards, and other measures.

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来源期刊
Journal of Maxillofacial & Oral Surgery
Journal of Maxillofacial & Oral Surgery DENTISTRY, ORAL SURGERY & MEDICINE-
CiteScore
1.90
自引率
0.00%
发文量
138
期刊介绍: This journal offers comprehensive coverage of new techniques, important developments and innovative ideas in Oral and Maxillofacial Surgery. Practice-applicable articles help develop the methods used to handle dentoalveolar surgery, facial injuries and deformities, TMJ disorders, oral cancer, jaw reconstruction, anesthesia and analgesia. The journal also includes specifics on new instruments, diagnostic equipment’s and modern therapeutic drugs and devices. Journal of Oral and Maxillofacial Surgery is recommended for first or priority subscription by the Dental Section of the Medical Library Association. Specific topics covered recently have included: ? distraction osteogenesis ? synthetic bone substitutes ? fibroblast growth factors ? fetal wound healing ? skull base surgery ? computer-assisted surgery ? vascularized bone grafts Benefits to authorsWe also provide many author benefits, such as free PDFs, a liberal copyright policy, special discounts on Elsevier publications and much more. Please click here for more information on our author services.
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