Role of open reduction and semirigid internal fixation in management of displaced pediatric mandibular fractures

Mohamed El Sayed Hassan, Hossam Abd El Hay Gad, Wael H.G. Abd Elkawy

Department of Otorhinolaryngology, Faculty of Medicine, Benha University, Benha, Egypt

Injuries in children are very common, and nine million children from birth to the age of 19 years are treated every year in the emergency departments for accidental injuries, costing $87 billion.
Involuntary injury is ranked as the number one cause of illness and death in children 1 year and older. Facial fractures are relatively rare in children and account for 1–15% of all facial fractures.
To evaluate the efficacy of open reduction and semirigid internal fixation in the management of displaced pediatric mandibular fractures.
Patients and methods
This study was conducted on 25 patients who have mandibular fracture. All cases were subjected to open reduction and semirigid internal fixation mandibular fractures. This study was carried out at the Otorhinolaryngology Department at Benha University Hospital and El Galaa Military Medical Complex in the period from May 2019 to May 2020.
Fixation was done in all of the cases by 1.5‑mm titanium miniplates and 1.5‑mm diameter 7‑ or 9‑mm length titanium screws, with plate removal after 6 months.
Open reduction and semirigid internal fixation with titanium miniplates is a reliable and a safe method in the treatment of displaced fractures of the pediatric mandible, with no danger regarding the erupted or unerupted tooth follicles.
displaced pediatric mandibular fractures, open reduction, semirigid internal fixation.

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