Open AccessAn indigenous method for closed reduction of pediatric mandibular parasymphysis fracture
Author(s) -
Naresh Kumar,
Akhilesh Kumar Singh,
Arun K. Pandey,
Vishal Verma
Publication year - 2015
Publication title -
national journal of maxillofacial surgery
Language(s) - English
Resource type - Journals
eISSN - 2229-3418
pISSN - 0975-5950
DOI - 10.4103/0975-5950.183872
Subject(s) - medicine , splints , mandibular fracture , reduction (mathematics) , arch , permanent dentition , dentistry , general anaesthesia , internal fixation , fixation (population genetics) , orthodontics , dentition , surgery , oral and maxillofacial surgery , population , civil engineering , geometry , mathematics , environmental health , engineering
Mandibular fractures in children are very rare as compared to adults due to protected anatomic features of child and less exposure to road traffic accidents. Management becomes complicated due to inherent dynamic nature, instability of mixed dentition and fear of surgery. Conservative management can be done with the help of acrylic cap splints along with circum-mandibular wiring, intermaxillary fixation with eyelet wires, arch wires or open reduction and internal fixation with bio-resorbable plates. Different methods have various pros and cons. The choice of anesthesia is also very crucial sometimes. This case report describes a new method of closed reduction with 18 gauge needle simulated as an arch bar performed under local anaesthesia.