TY - JOUR
T1 - Fractures of the Growing Mandible
AU - Kushner, George M.
AU - Tiwana, Paul S.
PY - 2009/3
Y1 - 2009/3
N2 - 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.
AB - 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.
UR - http://www.scopus.com/inward/record.url?scp=60449102466&partnerID=8YFLogxK
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U2 - 10.1016/j.cxom.2008.11.001
DO - 10.1016/j.cxom.2008.11.001
M3 - Review article
C2 - 19237131
AN - SCOPUS:60449102466
SN - 1061-3315
VL - 17
SP - 81
EP - 91
JO - Atlas of the Oral and Maxillofacial Surgery Clinics of North America
JF - Atlas of the Oral and Maxillofacial Surgery Clinics of North America
IS - 1
ER -