환악 결찰술을 이용한 소아 하악 골절의 보존적 치료
The conservative treatment of mandibular fracture in a child with circummandibular wiring
김형모, 김태완, 송승일, 이정근,
소속 상세정보
김형모 ( Kim Hyung-Mo ) - 아주대학교 의과대학 치과학교실
김태완 ( Kim Tae-Wan ) - 아주대학교 의과대학 치과학교실
송승일 ( Song Seung-Il ) - 아주대학교 의과대학 치과학교실
이정근 ( Lee Jeong-Keun ) - 아주대학교 치과학교실 구강악안면외과
KMID : 0355620100360020145
Abstract
Maxillofacial injuries are less common in children than in adolescents and adults. This lower incidence is a result of the relatively small size of mandible, the resilient nature of the bones, and a relatively protected environment, which distinguish the treatment principles of pediatric mandibular fractures from those of the adult. The bone of child is malleable, so pediatric fractures tend to be less displaced and rarely comminuted. Moreover, high regeneration potential of the wound allows more conservative treatment modalities for the pediatric mandibular fracture. High risk of damaging unerupted tooth bud renders many clinicians to resort to more conservative treatment modality for the reduction of displaced segments. This case report describes two successful treatment cases using the circummandibular wiring which was applicated to the fracture on parasymphysis of mandible. Circummandibular wiring can protect the tooth buds, and there is no need for intermaxillary fixation so that it prevents the possible complications of intermaxillary fixation such as the temporomandibular joint ankylosis and the facial growth disturbances. The acrylic splint was removed after 3 weeks, which showed clinically good union across the fracture line without complications. They showed complete clinical and radiological bone healing with an optimum occlusion.
키워드
Pediatric mandibular fracture;Circummandibular wiring
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